Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 021023-1 | NY |
N | 103TS0200X | School Psychologist | 021023-1 | NY |
NPI | 1114354586 |
---|---|
Provider Name | Dr. Lee Ann Annotti |
First Address | Ny, NY 10016 |
Second Address | Ny, NY 10016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2013 |
Last Update Date | 30/09/2016 |