Individual
ANNA LOUISE NODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 LAWRENCE AVE APT 2, LYNBROOK, NY 11563-1843
(631) 759-6857
Mailing address
28 LAWRENCE AVE APT 2, LYNBROOK, NY 11563-1843
(631) 759-6857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1436993201
NY
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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