# JOSEPH R ANDRADE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992715585
- **Authorized official:** DR. JOSEPH RICARDO ANDRADE SR. M.D (PHYSICIAN)
- **Authorized official phone:** (718) 589-3501

## Contact information

- **Practice address:** 1163 MANOR AVE, 1423 WYTHE PL, BRONX, NY 10472-3901
- **Practice address phone:** (718) 589-3501
- **Practice address fax:** (718) 589-1012
- **Mailing address:** 131 FOX MEADOW RD, SCARSDALE, NY 10583-2301
- **Mailing address phone:** (718) 589-3501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 166744 | NY | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 166744 | NY | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 11/07/2007