Individual
LOVASIA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6950
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
311551
NY
Other
Enumeration date
12/05/2023
Last updated
06/14/2024
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