Anderson, Mikaela B
Anderson, Mikaela B is an sole proprietor health care provider with primary practice located at 300 Community Dr. Emergency Department, Manhasset NY 11030. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Anderson, Mikaela B can be contacted via phone (516) 562-3090.Contact Information
Primary practice address
300 Community Dr. Emergency Department
Manhasset NY 11030
Phone: (516) 562-3090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 011474 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 011474-1 | New York |
Profile Details
| NPI number | 1740366673 |
|---|---|
| LBN Legal business name | Anderson, Mikaela B |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Apr 2nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740366673 | NPPES |
| New York | Other | 011474-1 | NY STATE LICENSE |
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