Individual
ALYSA ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
157 WILD AVE, STATEN ISLAND, NY 10314-4727
(718) 309-6445
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
707617
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432493
NY
Other
Enumeration date
07/22/2022
Last updated
09/11/2023
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