Individual
ANNE VASILYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6020 HUDSON AVE APT 505, WEST NEW YORK, NJ 07093-5857
(718) 702-6142
Mailing address
6020 HUDSON AVE APT 505, WEST NEW YORK, NJ 07093-5857
(718) 702-6142
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
804851
NY
163W00000X
Registered Nurse
Primary
804851
NY
363L00000X
Nurse Practitioner
357025
NY
Other
Enumeration date
11/10/2020
Last updated
05/01/2026
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