Individual
ANNA REBECCA MAENDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
352 CENTRAL AVE, APT D11, SCARSDALE, NY 10583
(718) 902-5062
Mailing address
352 CENTRAL AVE., APT D11, SCARSDALE, NY 10583
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
275535
NY
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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