NPI 1154963676 · live from the CMS NPI Registry
Carly Anderson
Physician Assistant in New York, NY. National Provider Identifier 1154963676, active.
NPI record
| NPI | 1154963676 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1275 York Ave, New York, NY 10065 |
| Practice phone | 212-639-2000 |
| Enumerated | October 16, 2019 |
| Last updated | February 28, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.