Individual
EMILY ROSE ANODIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40-37 74TH ST, ELMHURST, NY 11373
(718) 651-7000
Mailing address
40-37 74TH STREET, ELMHURST, NY 11373-5603
(718) 651-7000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
032042
NY
Other
Enumeration date
06/20/2024
Last updated
03/09/2025
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