Individual
ANDREA MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTER NURSE
Contact information
Practice address
433 DUNHAM AVE, MOUNT VERNON, NY 10553-2005
(347) 549-6013
Mailing address
433 DUNHAM AVE, MOUNT VERNON, NY 10553-2005
(347) 549-6013
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
785282-01
NY
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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