Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Anna G. Custodio, AGPCNP-BC

Individual provider Registered Nurse · NPI 1275149106

MS. Anna G. Custodio, AGPCNP-BC is a Registered Nurse in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

480 Main St Apt 3G
New York, NY 10044-0406
Phone: (845) 521-2887
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 535 East 73rd St, New York, NY 10044 — (646) 608-3824

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence F309861-01 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 604515 (NY)

Record details

NPI number1275149106
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedSeptember 16, 2020
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 14, 2020

Other providers in New York