Individual
KOREEM ANDRE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-3270
Mailing address
23224 MENTONE AVE, LAURELTON, NY 11413-2953
(718) 503-1141
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
297447
NY
Other
Enumeration date
05/03/2015
Last updated
06/06/2023
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