Individual
ADRESE MICHAEL KANDAHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7000
Mailing address
100 WOODS RD, VALHALLA, NY 10595-1530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A179844
CA
207R00000X
Internal Medicine Physician
T8239
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2016
Last updated
06/06/2023
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