Provider Demographics
NPI:1699737312
Name:ALTOONIAN, ANN GARCZYNSKI (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:GARCZYNSKI
Last Name:ALTOONIAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5688 WILLIAMSON PKWY
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:NY
Mailing Address - Zip Code:13039-9513
Mailing Address - Country:US
Mailing Address - Phone:585-467-5930
Mailing Address - Fax:585-412-6160
Practice Address - Street 1:500 HELENDALE RD
Practice Address - Street 2:SUITE 130
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-3173
Practice Address - Country:US
Practice Address - Phone:585-467-5930
Practice Address - Fax:585-467-6878
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2022-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012371103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01785771Medicaid
NYBB8941Medicare ID - Type Unspecified