Individual
D'ANDRE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21901 112TH AVE FL 1, QUEENS VILLAGE, NY 11429-2539
(609) 464-6943
Mailing address
21901 112TH AVE FL 1, QUEENS VILLAGE, NY 11429-2539
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
908621-01
NY
Other
Enumeration date
02/02/2021
Last updated
11/06/2023
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