Individual
MICHAEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3125
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
604434
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
604434
NY
Other
Enumeration date
11/12/2019
Last updated
01/09/2023
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