Individual
DEANDRE ECCLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418-2832
(347) 513-7362
Mailing address
2866 DUDLEY AVE APT 1, BRONX, NY 10461-5610
(347) 513-7362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030942
NY
Other
Enumeration date
07/18/2023
Last updated
01/07/2026
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