Provider Demographics
NPI:1487720249
Name:NYLUND, ANN CHRISTINE (DPM)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:CHRISTINE
Last Name:NYLUND
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:504 COUDERT PL
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-1015
Mailing Address - Country:US
Mailing Address - Phone:201-560-0179
Mailing Address - Fax:201-560-0189
Practice Address - Street 1:450 FASHION AVE STE 1004
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10123-1004
Practice Address - Country:US
Practice Address - Phone:212-564-2331
Practice Address - Fax:212-564-7081
Is Sole Proprietor?:No
Enumeration Date:2006-11-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYN005454213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery