Anderson, Angela Tierra

Anderson, Angela Tierra is an sole proprietor health care provider with primary practice located at 3959 Broadway , New York NY 10032-1559. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Anderson, Angela Tierra can be contacted via phone (212) 305-8504.

Contact Information

Primary practice address
3959 Broadway New York NY 10032-1559
Phone: (212) 305-8504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD458257 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1720421530
LBN Legal business name Anderson, Angela Tierra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2013
Last updated Oct 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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