Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | F420154-1 | NY |
NPI | 1053431262 |
---|---|
Provider Name | Patricia Gail Anders |
First Address | New York, NY 10025-2083 |
Second Address | New York, NY 10027-7036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 08/07/2007 |