Individual
CLARISSA ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 E 70TH ST, NEW YORK, NY 10021-4872
(212) 746-9663
(212) 746-3609
Mailing address
505 E 70TH ST, NEW YORK, NY 10021-4872
(212) 746-9663
(212) 746-3609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
316428
NY
Other
Enumeration date
03/20/2019
Last updated
10/14/2022
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