Individual
ESCEL ANDAL MORADA-LAGDAMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
THREE BARKER AVENUE, 4TH FLOOR PARK AVENUE MEDICAL ASSOCIATES PC, WHITE PLAINS, NY 10601
(914) 949-1199
(914) 949-1245
Mailing address
THREE BARKER AVENUE, 4TH FLOOR PARK AVENUE MEDICAL ASSOCIATES PC, WHITE PLAINS, NY 10601
(914) 949-1199
(914) 949-1245
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F3404461
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02661847
—
NY
Enumeration date
08/03/2006
Last updated
07/08/2007
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