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Contact Information

KEVIN ANDERSON
8002 KEW GARDENS RD STE 704
KEW GARDENS, NY11415-3607
 Phone: 718-520-1513
 Fax: 718-520-6460
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for KEVIN ANDERSON · (Male)

NPI # 1821723628
Status Active
Credentials
Entity Individual
Enumeration date 07/18/2022
Last updated 09/23/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 5943
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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