Individual
DR. PATRICE LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 WOODS RD, N/A, VALHALLA, NY 10595-1530
(914) 909-9018
(914) 909-9028
Mailing address
19 BRADHURST AVE, SUITE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
MD452935
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287946
NYS LICENSE
NY
Enumeration date
04/27/2011
Last updated
03/20/2017
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