Individual
MISS CASSANDRA NICHOLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3000 MARCUS AVE STE 2W15, NEW HYDE PARK, NY 11042-1005
(347) 223-7649
Mailing address
2758 FISH AVE, BRONX, NY 10469-5519
(347) 223-7649
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
308352-1
NY
363LF0000X
Family Nurse Practitioner
Primary
347523
NY
Other
Enumeration date
08/13/2012
Last updated
06/22/2023
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