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Individual

DR. JEANNETTE M. ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
39 WEST 56TH ST., FOURTH FLOOR, NEW YORK, NY 10019
(212) 581-5776
(212) 247-1240
Mailing address
39 WEST 56TH ST, FOURTH FLOOR, NEW YORK, NY 10019
(212) 581-5776
(212) 247-1240

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6818-1
NY
111N00000X
Chiropractor
68181
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050006818NY01
ANTHEM
01
5656002003
CIGNA ID
01
5801318
GHI ID
01
X48901
EMPIRE BCBS ID
Enumeration date
12/19/2006
Last updated
10/07/2014
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