Individual
MR. ADE'HMAR JEDIAH DEANDRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
174 MOUNT EDEN PKWY, BRONX, NY 10457-7605
(718) 885-6593
Mailing address
174 MOUNT EDEN PKWY, BRONX, NY 10457-7605
(718) 885-6593
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
4243062
NY
363LF0000X
Family Nurse Practitioner
Primary
359403
NY
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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