Individual
ANDRA ANNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 NETHERLAND AVE, BRONX, NY 10471-2333
(866) 551-9700
Mailing address
5555 NETHERLAND AVE, BRONX, NY 10471-2333
(866) 551-9700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
594615
NY
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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