Miss Cassandra Nichole Anderson
Nurse Practitioner - Family Medicine
3000 Marcus Ave Ste 2w15
New Hyde Park
, New York 11042-1005
Miss Cassandra Nichole Anderson
Nurse Practitioner - Family Medicine
3000 Marcus Ave Ste 2w15
New Hyde Park
, New York 11042-1005
(347) 223-7649
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Miss Cassandra Nichole Anderson
- 2758 Fish Ave
- Bronx, NY
- Zip : 10469-5519
- Phone : (347) 223-7649
Second Address
- Miss Cassandra Nichole Anderson
- 3000 Marcus Ave Ste 2w15
- New Hyde Park, NY
- Zip : 11042-1005
- Phone : (347) 223-7649
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Is Miss Cassandra Nichole Anderson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 347523 | NY |
National Provider Identifier
| NPI | 1003163726 |
|---|---|
| Provider Name | Miss Cassandra Nichole Anderson |
| First Address | Bronx, NY 10469-5519 |
| Second Address | New Hyde Park, NY 11042-1005 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2012 |
| Last Update Date | 26/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.