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Individual

SYESHA ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
120 LAWRENCE ST, BROOKLYN, NY 11201-3812
(718) 277-0386
Mailing address
1240 ALBANY AVE, BROOKLYN, NY 11203-5636

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
679908
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
403707
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403707-01
NY

Other

Enumeration date
09/06/2022
Last updated
09/06/2022
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