Individual
AMELIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40-31 48TH STREET, SUNNYSIDE, NY 11104
(646) 206-3853
Mailing address
4031 48TH ST, SUNNYSIDE, NY 11104-1028
(646) 206-3853
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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