Individual
MR. AVISHAY ADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034
(212) 932-4000
Mailing address
5141 BROADWAY, NEW YORK, NY 10034-1159
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
674326
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402454
NY
Other
Enumeration date
05/25/2018
Last updated
07/10/2018
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