Individual
ANDREA HUNTER SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11620 QUEENS BLVD, FOREST HILLS, NY 11375-7055
(718) 401-1510
Mailing address
11620 QUEENS BLVD, FOREST HILLS, NY 11375-7055
(315) 777-5016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1019689
TX
363LF0000X
Family Nurse Practitioner
1019689
TX
363LF0000X
Family Nurse Practitioner
Primary
F351212-01
NY
Other
Enumeration date
11/18/2020
Last updated
04/25/2023
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