Marlene O Anderson | Brooklyn, NY • PECOS Search

Marlene O Anderson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

Kings County Hospital, 451 Clarkson Ave, E Bldg-6th Fl, Brooklyn, NY 11203

(718) 245-5484 (718) 341-2278

PECOS Enrollment

Based on the most recent information from CMS, provider Marlene O Anderson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1689638009
Provider Type
Individual
Full Name
Anderson, Marlene O
Title
Ms.

Credential
NP
Gender
Female
Enumeration Date
4/13/2006
Last Updated
7/8/2007

Contact Information

Practice Location

Kings County Hospital, 451 Clarkson Ave, E Bldg-6th Fl, Brooklyn, NY 11203

(718) 245-3061

Mailing Location

14554 229th St, Springfield Gardens, NY 11413-3923

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 331458 New York