Individual
ANDREA DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 702-7751
(212) 702-7581
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 702-7751
(212) 702-7581
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
F336698-1
NY
Other
Enumeration date
10/16/2012
Last updated
08/01/2013
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