MEDICARE: MS. IVERINE M ANDERSON NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	7524308	NY

General Provider Information

NPI Number	:	1043599319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. IVERINE M ANDERSON NP

Provider Business Mailing Address
First Line	:	24 PRINCETON ST
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-4237
Country	:	US
Telephone Number	:	516-680-6653
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 PRINCETON STREET
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-4237
Country	:	US
Telephone Number	:	516-680-6653
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2011
Last Update Date	:	08/04/2011

Similar Medicare Providers

1851524664 — NATASHA DOROTHY TAYLOR LMSW
Practice Location Address:

4237 LAC DU BAY DR
HARVEY, LA
70058-5232

Practice Phone: 504-312-0580
Practice Fax:

1003172875 — LASAFAT EMS INC
Practice Location Address:

1941 7TH ST , SUITE A
BAY CITY, TX
77414-4237

Practice Phone: 979-323-0516
Practice Fax: 713-771-5081

1699596288 — PATHWAYS TO SERVICES DEVELOPMENT
Practice Location Address:

4165 BAY ST APT 203
FREMONT, CA
94538-4237

Practice Phone: 510-860-7345
Practice Fax:

1104897412 — LYNDA J. BAHDE APNP
Practice Location Address:

2935 SHORE DR
MARINETTE, WI
54143-4237

Practice Phone: 715-732-9193
Practice Fax: 715-732-9196

1205973575 — NORTHREACH HEALTHCARE, LLC
Practice Location Address:

2935 SHORE DR
MARINETTE, WI
54143-4237

Practice Phone: 715-732-9193
Practice Fax: 715-732-9196

1205081668 — MS. DEBORAH S. GROARK MA,CCC/SLP
Practice Location Address:

270 SHORE RD , APT. 30
LONG BEACH, NY
11561-4237

Practice Phone: 516-889-4691
Practice Fax:

Directions to “ MS. IVERINE M ANDERSON NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.