Individual
DR. ANDREA KERMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
804 E 138TH, BRONX, NY 10039
(718) 665-7500
Mailing address
804 E 138TH, BRONX, NY 10039
(718) 665-7500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
275487
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
275487
NY
Other
Enumeration date
07/21/2014
Last updated
05/03/2021
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