Ann M Mills
Individual provider Active NPI Specialist · Broad Channel, NY
NPI 1831075571 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1831075571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 802 Cross Bay Blvd
Broad Channel, NY 11693-1126 - Phone
- (917) 825-9068
- NPI assigned
- Aug 15, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Yes |
Addresses
Primary practice location
802 Cross Bay Blvd
Broad Channel, NY 11693-1126
Mailing address
802 Cross Bay Blvd
Broad Channel, NY 11693-1126
Phone (917) 825-9068
Other names
- Ms. Ann M Olmstead
Other providers in Broad Channel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.