Provider Demographics
NPI:1811971252
Name:ZEMEL, ANNA R (MD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:R
Last Name:ZEMEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 GRAND STREET
Mailing Address - Street 2:3RD FL
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1035
Mailing Address - Country:US
Mailing Address - Phone:845-362-4014
Mailing Address - Fax:845-987-5979
Practice Address - Street 1:500 NEW HEMPSTEAD RD
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-1132
Practice Address - Country:US
Practice Address - Phone:845-362-4014
Practice Address - Fax:845-362-4017
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY169180207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01162789Medicaid
NYAZ029F1710OtherMEDICARE UNSPECIFIED
29F171Medicare ID - Type Unspecified
NYAZ029F1710OtherMEDICARE UNSPECIFIED
NY29F171Medicare PIN