Individual
ANASTASIA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6 GRAMATAN AVE STE 606, MOUNT VERNON, NY 10550-3208
(917) 497-1913
Mailing address
6 GRAMATAN AVE STE 606, MOUNT VERNON, NY 10550-3208
(917) 497-1913
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404418-01
NY
Other
Enumeration date
06/02/2023
Last updated
04/22/2024
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