Individual
RENEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14202 20TH AVE, FLUSHING, NY 11351-3000
(917) 563-3350
(646) 829-1363
Mailing address
52 SMITH LN, MEDFORD, NY 11763-1128
(631) 835-1630
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
406843-1
NY
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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