Individual
DR. ANDRE DANIEL IMMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-1000
Mailing address
400 E MOSHOLU PKWY S APT B5, BRONX, NY 10458-1747
(240) 273-6395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
69629
CT
Other
Enumeration date
06/02/2017
Last updated
10/25/2021
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