Individual
ANDREA RADCLIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 7TH AVE FL 8, NEW YORK, NY 10001-6381
(929) 441-8645
(212) 627-9472
Mailing address
21836 112TH AVE, QUEENS VILLAGE, NY 11429-2540
(347) 617-3555
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
279227-01
NY
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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