Eardley, Anna M.

Eardley, Anna M. is an individual health care provider with primary practice located at 150 Theodore Fremd Ave Apt B7 , Rye NY 10580-2868. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Eardley, Anna M. can be contacted via phone (917) 653-1006.

Contact Information

Primary practice address
150 Theodore Fremd Ave Apt B7 Rye NY 10580-2868
Phone: (917) 653-1006
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA09230200 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 668985 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 228467 New York

Profile Details

NPI number 1043210461
LBN Legal business name Eardley, Anna M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jun 23rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043210461 NPPES
New Jersey MEDICAID 0336483
New Jersey MEDICAID 02640435

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