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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALICIA ANDERSON

Active Sole Proprietor

ALICIA ANDERSON is a Physician Assistant healthcare provider located in RONKONKOMA, New York. NPI 1104584622 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RONKONKOMA, NY

Registration Details

NPI Number
1104584622
Provider Type
Individual
Gender
Female
NPI Issued
Dec 1, 2021 (4.6921597102445 yrs)
Last Updated
Feb 11, 2022
Sole Proprietor
Yes

Practice Information

Address
650 HAWKINS AVE STE 7
RONKONKOMA, NY, 117792366
Browse NY providers · Browse ZIP 11779
Phone
6317370055
Fax
6317370076
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in RONKONKOMA, NY

Name Credential NPI
MRS. CHRISTINE MARIE PETRAS PA 1992984223
MISS DHANNIE VORBE RPA-C 1508041849
NICOLE GERAGHTY R PA C 1427223494
MRS. KARLYN TAYLOR NAFEY RPA-C 1568618460
MISS SARAH PAGLIARULO RPA-C 1326347709
MR. AHMAD F HALIMI PA 1750892345
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.