Individual
ANDREA M DALZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 PINE ST, NEW YORK, NY 10005-1001
(646) 649-3913
Mailing address
3914 AVENUE I, BROOKLYN, NY 11210-4432
(347) 495-4454
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
746367
NY
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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