Individual
MISS ANANDA DIMARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA -C
Contact information
Practice address
19 BRADHURST AVE STE 2700S, HAWTHORNE, NY 10532-2140
(914) 909-9018
Mailing address
19 BRADHURST AVE STE 2700S, HAWTHORNE, NY 10532-2140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020487
NY
363AM0700X
Medical Physician Assistant
Primary
020487
NY
Other
Enumeration date
02/06/2017
Last updated
06/13/2023
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