Provider Demographics
NPI:1881106284
Name:PASKIN, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:PASKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:JOYCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:881 BOSTWICK RD
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-9310
Mailing Address - Country:US
Mailing Address - Phone:607-280-2855
Mailing Address - Fax:
Practice Address - Street 1:881 BOSTWICK RD
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-9310
Practice Address - Country:US
Practice Address - Phone:607-280-2855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist