Individual
ADRIAN RICHARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-CRNA
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
3249 GRISWOLD AVE, BRONX, NY 10465-1379
(347) 453-4268
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
712339
NY
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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