Provider Demographics
NPI:1962561837
Name:PROCYK, ANNE (ND)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:PROCYK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WILDWOOD MEDICAL CTR
Mailing Address - Street 2:THIRD STONE INTEGRATIVE HEALTH CENTER
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1155
Mailing Address - Country:US
Mailing Address - Phone:860-661-4662
Mailing Address - Fax:860-661-4654
Practice Address - Street 1:3 WILDWOOD MEDICAL CTR
Practice Address - Street 2:THIRD STONE INTEGRATIVE HEALTH CENTER
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1155
Practice Address - Country:US
Practice Address - Phone:860-661-4662
Practice Address - Fax:860-661-4654
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000313175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath