Individual
ANDROMEDA RAINDANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 WASHINGTON AVE, KINGSTON, NY 12401-3702
(845) 338-7140
Mailing address
105 COTTONTAIL LANE, WOODSTOCK, NY 12498
(845) 332-7884
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
283728
NY
363LF0000X
Family Nurse Practitioner
Primary
355983
NY
Other
Enumeration date
06/06/2013
Last updated
07/21/2025
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