Individual
DENISE L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 ATLANTIC AVE, MASSAPEQUA PARK, NY 11762-2133
(516) 395-5431
Mailing address
208 ATLANTIC AVE, MASSAPEQUA PARK, NY 11762-2133
(516) 395-5431
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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