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Carolyn Anderson

Licensed Practical Nurse in Hicksville, NY. Individual provider (NPI-1).

NPI number1295983732
StatusActive
Last updated in NPPESSep 8, 2008

Details

NPI
1295983732
Entity type
Individual (NPI-1)
Name
Carolyn Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Sep 8, 2008
Last updated
Sep 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse165841NYYes

Practice location

105 Halsey Ave
Hicksville, NY 11801-4826

Phone 516-942-2610

Mailing address

105 Halsey Ave
Hicksville, NY 11801-4826

Phone 516-942-2610

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