Individual
ANDRE F LANDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4823
Mailing address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4823
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
774666-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
774666-01
OFFICE OF THE PROFESSIONS
NY
Enumeration date
10/16/2019
Last updated
10/16/2019
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