Basic Information
Provider Information
NPI: 1467453159
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BOND
FirstName: ANNETTE
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2700 WESTCHESTER AVE
Address2:  
City: PURCHASE
State: NY
PostalCode: 105772547
CountryCode: US
TelephoneNumber: 9146075730
FaxNumber:  
Practice Location
Address1: 1 THEALL RD
Address2:  
City: RYE
State: NY
PostalCode: 105801404
CountryCode: US
TelephoneNumber: 9148488040
FaxNumber: 9148488041
Other Information
ProviderEnumerationDate: 08/03/2005
LastUpdateDate: 11/02/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VM0101X034664CTN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
207VM0101X165441NYY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine

No ID Information.


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