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Individual

ELIZABETH ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
290 E MAIN ST, SUITE 700, SMITHTOWN, NY 11787-2916
(631) 316-4802
(631) 361-5376
Mailing address
290 E MAIN ST, SUITE 700, SMITHTOWN, NY 11787-2916
(631) 316-4802
(631) 361-5376

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015996-1
NY

Other

Enumeration date
10/15/2012
Last updated
06/11/2014
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