Individual
ANDRE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
21664 114TH AVE, CAMBRIA HEIGHTS, NY 11411-1102
(718) 440-5689
Mailing address
21664 114TH AVE, CAMBRIA HEIGHTS, NY 11411-1102
(718) 440-5689
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401809
NY
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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