Individual
ANDREW MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
111 E 210 ST, BRONX, NY 10467
(718) 200-8736
Mailing address
111 E 210 ST, BRONX, NY 10467
(718) 200-8736
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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