Individual
DIANA ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
8340 WOODHAVEN BLVD, GLENDALE, NY 11385-7824
(718) 850-4368
Mailing address
4318 FORLEY ST, ELMHURST, NY 11373-2747
(212) 600-4781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
015084-01
NY
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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