Individual
MS. ANDREA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
900 MERCHANTS CONCOURSE STE 308, WESTBURY, NY 11590-5114
(516) 565-6322
(516) 565-6325
Mailing address
900 MERCHANTS CONCOURSE STE 308, WESTBURY, NY 11590-5114
(516) 565-6322
(516) 565-6325
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302065-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750493706
—
NY
Enumeration date
10/07/2010
Last updated
10/07/2010
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