Individual
HOLLY ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 E 72ND ST, NEW YORK, NY 10021-4250
(212) 628-6100
(212) 746-8451
Mailing address
125 E 72ND ST, NEW YORK, NY 10021-4250
(212) 746-0373
(212) 746-7481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
183198
NY
207RC0000X
Cardiovascular Disease Physician
Primary
183198
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01360521
—
NY
Enumeration date
10/09/2006
Last updated
09/14/2011
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