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MS. ANNE RODERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN PMHNP

Contact information

Practice address
115 BROADWAY, SUITE 1300, NEW YORK, NY 10006
(212) 233-2830
Mailing address
16 WEST 16 STREET, 8HN, NEW YORK, NY 10011
(212) 255-0540

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F4012691
NY

Other

Enumeration date
04/03/2012
Last updated
04/03/2012
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