Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174V00000X | Clinical Ethicist | 897779 | NY |
NPI | 1720431190 |
---|---|
Provider Name | Tricia Anderson |
First Address | Brooklyn, NY 11208 |
Second Address | Brooklyn, NY 11208-4546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2016 |
Last Update Date | 19/02/2019 |