Individual provider · Type 1 NPI
Mikaela B. Anderson, PA-C
Medical Physician Assistant · New York, NY
NPI number
1740366673
Active
Practice location
356 W 18th St
New York, NY 10011-4401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | 011474 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | 011474-1 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1740366673
Mikaela B. Anderson, PA-C's National Provider Identifier is 1740366673, issued on Oct 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Mar 26, 2025.