Individual
MS. DARLENE S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2510 30TH AVE, EMERGENCY DEPARTMENT, ASTORIA, NY 11102-2448
(718) 267-4390
Mailing address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 267-4390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008441
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02331368
—
NY
Enumeration date
09/13/2006
Last updated
05/22/2023
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