Ann L Letourneau MD PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

197047 Issued in NY

Legal business name

ANN L LETOURNEAU MD PC

Practice address

96 Terryville Rd
Port Jefferson Station, NY 11776-1388

Phone

(631) 473-4200

Fax

(631) 473-4995

NPI assigned

Apr 13, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ann L Letourneau, MD

Title

Owner

Phone

(631) 473-4200

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1265758486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119340155",
            "telephone_number": "631-473-4200",
            "fax_number": "631-473-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 TERRYVILLE RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761388",
            "telephone_number": "631-473-4200",
            "fax_number": "631-473-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN L LETOURNEAU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "LETOURNEAU",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-473-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "197047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Anderson Walker, RN
• Lindsay Diane Andreopoulos, M.A., CF-SLP, TSSLD
• Carmine J Angrisani, CSW
• Lidia Ani
• Marie G Anioje, RN
• Kimberly A Annicelli
• Christopher Paul Antipas, PH.D.
• Jonalyn Antonio
• Michele Aponte, LMT
• Emily Rose Aramanda, LMSW

• Plastic and Reconstructive Surgery Physician in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.