Individual
MS. KATHLEEN SUSAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
230 NORTH ROAD, LEXINGTON CENTER FOR RECOVERY MMTP, POUGHKEEPSIE, NY 12601
(845) 486-2850
(845) 486-2770
Mailing address
43 ROLLING RIDGE ROAD, HYDE PARK, NY 12538
(845) 849-3542
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
3666721
NY
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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