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Individual

ANDREW J RESTIVO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4751 40TH ST, LONG IS CITY, NY 11104-4052
(347) 724-7265
Mailing address
4751 40TH ST, LONG IS CITY, NY 11104-4052
(347) 724-7265

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
260475
NY

Other

Enumeration date
02/18/2011
Last updated
02/18/2011
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