Individual
ANISSA HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
500 LINDA AVENUE, HAWTHORNE, NY 10532
(914) 773-6723
Mailing address
116 WEST 2ND STREET, 3RD FLOOR, MOUNT VERNON, NY 10550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
614894-1
NY
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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