Individual
ANDERSON VERNOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 S 25TH ST, WYANDANCH, NY 11798-2906
(631) 482-6281
Mailing address
117 S 25TH ST, WYANDANCH, NY 11798-2906
(631) 482-6281
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
708135419
NY
347C00000X
Private Vehicle
708135419
NY
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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