Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phillip Joseph Anderson, PA

Individual provider Physician Assistant · NPI 1649050790

Phillip Joseph Anderson, PA is a Physician Assistant in Elmhurst, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7901 Broadway # B1-27
Elmhurst, NY 11373-1329
Phone: (718) 334-2209
Fax: (718) 334-5006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 030969 (NY)

Record details

NPI number1649050790
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 4, 2023
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

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