Individual
CANDICE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
144-29 183RD STREET, 2ND UNIT, SPRINGFIELD GARDENS, NY 11413-1141
(347) 534-8378
(347) 534-8378
Mailing address
14429 183RD ST, SPRINGFIELD GARDENS, NY 11413-3354
(347) 534-8378
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290722
NY
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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