Individual
BERNADETTE ANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1880 WATSON AVE, BRONX, NY 10472-5425
(718) 828-9400
(718) 409-0816
Mailing address
1880 WATSON AVE, BRONX, NY 10472-5425
(718) 828-9400
(718) 409-0816
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01-2041-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-2041-1
OT
NY
Enumeration date
10/30/2009
Last updated
10/30/2009
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