Provider Demographics
NPI:1043572985
Name:KADIAN, ANNA (MS SP ED)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:KADIAN
Suffix:
Gender:F
Credentials:MS SP ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 SANDY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-3018
Mailing Address - Country:US
Mailing Address - Phone:631-864-7026
Mailing Address - Fax:
Practice Address - Street 1:28 SANDY HOLLOW DR
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3018
Practice Address - Country:US
Practice Address - Phone:631-864-7026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist