Individual
MR. ANDRE A RAWLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-5808
Mailing address
959 E 106TH ST, BROOKLYN, NY 11236-3011
(917) 420-5199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013780
NY
Other
Enumeration date
02/06/2010
Last updated
01/20/2023
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