Individual
ANDREA TEIXEIRA BORTOT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 57TH ST, BROOKLYN, NY 11219-4636
(718) 283-3640
(718) 635-7235
Mailing address
977 48TH ST, BROOKLYN, NY 11219-2919
(718) 283-8015
(718) 635-7235
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
228661
NY
Other
Enumeration date
09/21/2005
Last updated
07/08/2007
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