Individual
MS. ANDREA NICOLE MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-8013
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055767
NY
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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