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Gina Anderson, rn

Registered Nurse in Dix Hills, NY. Individual provider (NPI-1).

NPI number1447572938
StatusActive
Last updated in NPPESFeb 24, 2010

Details

NPI
1447572938
Entity type
Individual (NPI-1)
Name
Gina Anderson
Credential
rn
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 24, 2010
Last updated
Feb 24, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse406685NYYes

Practice location

527 Deer Park Rd
Dix Hills, NY 11746-5207

Phone 631-654-0789

Mailing address

527 Deer Park Rd
Dix Hills, NY 11746-5207

Phone 631-654-0789

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