Individual
ANDRIA COOPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2995
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2995
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018483
NY
Other
Enumeration date
06/11/2015
Last updated
03/15/2023
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