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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. ANNA G. CUSTODIO, AGPCNP-BC

Active

MS. ANNA G. CUSTODIO, AGPCNP-BC is a Primary Care Nurse Practitioner healthcare provider located in NEW YORK, New York. NPI 1275149106 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · NEW YORK, NY

Registration Details

NPI Number
1275149106
Provider Type
Individual
Gender
Female
NPI Issued
Sep 16, 2020 (5.7662795701149 yrs)
Last Updated
Sep 16, 2020
Licenses
604515 (NY)
F309861-01 (NY)

Practice Information

Address
480 MAIN ST APT 3G
NEW YORK, NY, 100440406
Browse NY providers · Browse ZIP 10044
Phone
8455212887
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in NEW YORK, NY

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.