NPI 1013414168
Anne Kirkham
Practice location
- Address
- 3600 Route 112, Coram, NY 11727
- Phone
- (631) 920-8500
- Fax
- (631) 920-8501
- Mailing address
- 3600 Route 112, Coram, NY 11727-4116
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1013414168
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Apr 2018
- Record last updated
- 6 Apr 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.