Provider Demographics
NPI:1427270347
Name:NOLTE, ANNE L (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:L
Last Name:NOLTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:L
Other - Last Name:MIELNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:15 E 40TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-0401
Mailing Address - Country:US
Mailing Address - Phone:212-481-1219
Mailing Address - Fax:212-481-1423
Practice Address - Street 1:15 E 40TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0401
Practice Address - Country:US
Practice Address - Phone:212-481-1219
Practice Address - Fax:212-481-1423
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250514207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine