Individual
ANDREA MCGREGOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1550 146TH ST, WHITESTONE, NY 11357-3019
(646) 852-1929
Mailing address
1425 141ST ST, WHITESTONE, NY 11357-2360
(646) 852-1929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
672155
NY
208000000X
Pediatrics Physician
383197
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383197
NY
Other
Enumeration date
10/24/2013
Last updated
11/04/2021
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