Healthcare Provider Details

I. General information

NPI: 1437715356
Provider Name (Legal Business Name): ANDERSON LEARNING SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2019
Last Update Date: 10/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 WILDFLOWER DRIVE
RIDGE NY
11961
US

IV. Provider business mailing address

754 CRESCENT ST
BROOKLYN NY
11208-4546
US

V. Phone/Fax

Practice location:
  • Phone: 917-574-1314
  • Fax:
Mailing address:
  • Phone: 917-574-1314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: TRICIA ANDERSON
Title or Position: OWNER
Credential:
Phone: 917-574-1314