Individual
MS. ANDREA CAMILE DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 EINSTEIN LOOP APT 23F, BRONX, NY 10475-4948
(917) 736-5417
Mailing address
100 EINSTEIN LOOP APT 23F, BRONX, NY 10475-4948
(917) 736-5417
(929) 222-4612
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
324826
NY
164W00000X
Licensed Practical Nurse
Primary
324826-1
NY
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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