Individual
DR. ANDRE JOCELYN DUHAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 299-7295
Mailing address
3198 GRAND CONCOURSE, BRONX, NY 10458-1000
(718) 618-0401
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
192191
NY
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
192191
NY
207R00000X
Internal Medicine Physician
Primary
192191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01441038
—
NY
Enumeration date
04/12/2006
Last updated
04/02/2019
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