Individual
DR. EDUARDO ANTONIO ANDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3426 103RD ST, PH, CORONA, NY 11368-1125
(917) 651-6406
Mailing address
3426 103RD ST, PH, CORONA, NY 11368-1125
(917) 651-6406
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14-616
NY
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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