Individual
MR. ANDREDI MIGUEL PUMAREJO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206
(718) 963-5807
(718) 963-8752
Mailing address
760 BROADWAY, BROOKLYN, NY 11206
(718) 963-5807
(718) 963-8752
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
11/13/2023
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