DR. PATRICE LYNN ANDERSON


Address: 100 Woods Rd, N/a, Valhalla, NY 10595-1530
Phone: 9149099018

DR. PATRICE LYNN ANDERSON (NPI# 1336430107) 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) 1336430107
Entity Type Individual
Full Name DR. PATRICE LYNN ANDERSON
Credential M.D.
Practice Address 100 Woods Rd
N/a
Valhalla
NY 10595-1530
Mailing Address 19 Bradhurst Ave
Suite 3100n
Hawthorne
NY 10532-2140
Practice Telephone 9149099018
Practice Fax Number 9149099028
Mailing Telephone 9149099018
Mailing Fax Number 9149099028
Enumeration Date 2011-04-27
Last Update Date 2017-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0127X Surgery
Specialization: Trauma Surgery
MD452935 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY NYS LICENSE 287946 01

Other Providers PATRICE ANDERSON

NPI Name Taxonomy Address Enumeration
1265079875 Patrice Anderson Community/Behavioral Health 9755 Mill Centre Dr Apt 529, Owings Mills, MD 21117-3981 2019-12-02
1568003119 Patrice Nicole Anderson Counselor 224 Alexander St, Rochester, NY 14607-4000 2019-10-04
1033682315 Patrice Anderson Social Worker 3400 N 29th Avenue, Hollywood, FL 33020 2019-01-09
1699963470 Patrice Shondelle Anderson Counselor 237 Fernwood Blvd, Fern Park, FL 32730-2116 2007-10-05

Office Location

Street Address 100 WOODS RD
N/A
City VALHALLA
State NY
Zip Code 10595-1530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265436802 Nagwa S. Saleh Radiology 100 Woods Rd, Valhalla, NY 10595-1530 2005-06-10
1639779663 Trevor Anthony Chen Jr. Pharmacy Technician 100 Woods Rd, Valhalla, NY 10595-1530 2020-10-28
1316544620 Hansol Lee Physician Assistant 100 Woods Rd, Valhalla, NY 10595-1530 2020-10-08
1205445558 Rizwan Amin Student in an Organized Health Care Education/Training Program 100 Woods Rd, Valhalla, NY 10595-1530 2020-07-23
1639788821 Ailan Zhang Student in an Organized Health Care Education/Training Program 100 Woods Rd, Valhalla, NY 10595-1530 2020-07-23
1578171302 Yarden Bornovski Student in an Organized Health Care Education/Training Program 100 Woods Rd, Valhalla, NY 10595-1530 2020-07-17
1780201517 Anita Boonyoo Nurse Practitioner 100 Woods Rd, Valhalla, NY 10595-1530 2020-06-27
1972129807 Lia C Iacuone Nurse Anesthetist, Certified Registered 100 Woods Rd, Valhalla, NY 10595-1530 2020-06-16
1578187852 Miriam Heller Nurse Anesthetist, Certified Registered 100 Woods Rd, Valhalla, NY 10595-1530 2020-06-03
1710509716 Jennifer Zappa Pharmacist 100 Woods Rd, Valhalla, NY 10595-1530 2020-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871126946 Evan Alexander Formosa Student in an Organized Health Care Education/Training Program 40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595 2020-02-18
1124673223 Mozibur Rahman Student in an Organized Health Care Education/Training Program C/o Pathology, 100 Woods Rd, Valhalla, NY 10595 2019-08-06
1235650243 Ana Karla F Arias Psychologist 503 Grasslands Roas, Suite 101, Valhalla, NY 10595 2017-06-29
1336682327 Adriana Josandy Arias Case Manager/Care Coordinator 503 Grasslands Rd, Suite 101, Valhalla, NY 10595 2016-11-23
1740632934 Philippe Hoffmann Counselor 1700 Old Orchard, Valhalla, NY 10595 2016-07-12
1396195020 Elizabeth Hendricks Social Worker 1700 Old Orchard St, Valhalla, NY 10595 2016-06-14
1427437771 Stephany Rodriguez Case Manager/Care Coordinator 503 Grasslands Road, Suite 101, Valhala, NY 10595 2015-05-20
1437536182 Shajiuddin Faraz Mohammed Psychiatry & Neurology 100 Woods Road Behavioral Health Center Suite-n314, Westchester Medical Center, Department of Psychiatry, Valhalla, NY 10595 2015-05-01
1841685013 Barbara Constantine Physical Therapist 70 Colubus Ave., Valhalla, NY 10595 2015-04-03
1316330418 Victor Tseng Anesthesiology 100 Woods Rd Rm D-228, Valhalla, NY 10595 2015-03-12
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Taxonomy Information

Taxonomy Code 2086S0127X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Trauma Surgery

Taxonomy Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427410273 Heiron Surgery Pllc Surgery 172 Kilburn Rd, Garden City, NY 11530-1328 2016-03-22
1316249766 Akeem A. Atanda Surgery 1 Brookdale Plz Ste 222, Brooklyn, NY 11212-3139 2010-11-17
1548380488 Manuel Alejandro Guerrero Surgery 350 Canal St, #700, New York, NY 10013-9400 2007-03-31
1639796568 Health Quest Medical Practice, PC Surgery 159 Barnegat Rd, Poughkeepsie, NY 12601-5401 2020-06-26
1326599713 Caitlin N Haenig Surgery 601 Elmwood Ave, Rochester, NY 14642 2016-10-20
1386005221 Health Quest Medicao Practice, PC Surgery 21 Reade Pl, Suite 3100, Poughkeepsie, NY 12601-3912 2016-03-18
1336555721 Boris Dimitrov Hristov Surgery 1 Brookdale Plz, Brooklyn, NY 11212-3139 2014-07-07
1053733998 Polikseni Eksarko Surgery 101 Nicolls Rd, Hcs T18-040, Stony Brook, NY 11794-8191 2014-01-13
1881030500 Crystal C Whitney Surgery 750 E Adams St, Syracuse, NY 13210-2342 2013-05-21
1033477427 Ryan S Lindborg Surgery 1 Brookdale Plz, Brooklyn, NY 11212-3139 2012-04-24
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Competitor

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City VALHALLA
Zip Code 10595

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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