| Doctor Name: | EVA ANDERSSON |
| NPI Number: | 1003021718 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 191223 |
| Business Practice Address: | 30 Rockefeller Plz Room 750s New York, NY - 101120002 |
| Business Phone Number: | 2122874977 |
| Business Fax Number: | 2122874936 |
| Mailing Address: | 1010 5th Ave, NEW YORK |
| State: | NY |
| Postal Code: | 100280130 |
| Phone Number: | 2122874977 |
| Fax Number: | 2122874936 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1800X |
| License Number: | 191223 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Corporate Health |
| Taxonomy Definition: | |