Individual
BIANCA SAN ANDRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 WEST BLVD, EAST ROCKAWAY, NY 11518-2517
(347) 572-5243
Mailing address
54 WEST BLVD, EAST ROCKAWAY, NY 11518-2517
(347) 572-5243
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/13/2022
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