Individual
EMILY NICOLE ANTHONISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-8312
Mailing address
MOUNT SINAI WEST, 1000 10TH AVE, NEW YORK, NY 10019
(212) 523-8311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F342025-1
NY
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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