Provider Demographics
NPI:1306008701
Name:RENTERIA, ANNE S (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:S
Last Name:RENTERIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:120 MINEOLA BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4074
Mailing Address - Country:US
Mailing Address - Phone:516-663-9500
Mailing Address - Fax:516-663-4613
Practice Address - Street 1:120 MINEOLA BLVD STE 500
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4074
Practice Address - Country:US
Practice Address - Phone:516-663-9500
Practice Address - Fax:516-663-4613
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2024-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01093783A207R00000X, 207RH0000X, 207RH0003X, 207RX0202X
NY264740207RH0000X, 207RX0202X, 207RH0003X
DCMD210003134207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology