Individual
MOLLY MCKENZIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
565 MANHATTAN AVE, NEW YORK, NY 10027-5250
(212) 222-5221
Mailing address
565 MANHATTAN AVE, NEW YORK, NY 10027-5250
(212) 222-5221
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309076
NY
Other
Enumeration date
08/12/2019
Last updated
08/21/2019
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