Individual
MRS. RUSIAN ELOISE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP FAMILY NURSE PRA
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7404
(646) 672-3558
(646) 672-3560
Mailing address
1901 1ST AVE, METROPOLITAN HOSPITAL CENTER, NEW YORK, NY 10029-7404
(646) 672-3558
(646) 672-3560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F333314
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02223792
—
NY
Enumeration date
05/15/2007
Last updated
02/20/2012
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