MISS HOLLY AGNES ANDERSON-REYES


Address: 633 3rd Ave, Floor 28, Office #2800a, New York, NY 10017
Phone: 6462276099

MISS HOLLY AGNES ANDERSON-REYES (NPI# 1548541915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548541915
Entity Type Individual
Full Name MISS HOLLY AGNES ANDERSON-REYES
Credential ANP-BC
Practice Address 633 3rd Ave
Floor 28, Office #2800a
New York
NY 10017
Mailing Address 633 3rd Avenue
Floor 28, Office #2800a
New York
NY 10017
Practice Telephone 6462276099
Mailing Telephone 6462276099
Enumeration Date 2011-08-30
Last Update Date 2020-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
305899 NY Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
644932-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 633 3RD AVE
FLOOR 28, OFFICE #2800A
City NEW YORK
State NY
Zip Code 10017

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10017

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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