Provider Demographics
NPI:1215160866
Name:HESSDORFER, ANIKA D (RPA-C)
Entity type:Individual
Prefix:MISS
First Name:ANIKA
Middle Name:D
Last Name:HESSDORFER
Suffix:
Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:1000 10TH AVE
Mailing Address - Street 2:SUITE 10C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1147
Mailing Address - Country:US
Mailing Address - Phone:212-523-6266
Mailing Address - Fax:212-523-8066
Practice Address - Street 1:1000 10TH AVE
Practice Address - Street 2:SUITE 10C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1147
Practice Address - Country:US
Practice Address - Phone:212-523-6266
Practice Address - Fax:212-523-8066
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY013484-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant