Individual
MR. ANDREW XAVIER DEOLIVEIRA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
1300 UNION TPKE, SUITE 108, NEW HYDE PARK, NY 11040-1759
(516) 488-2743
(516) 488-6249
Mailing address
257 ROSELLE ST, MINEOLA, NY 11501-2125
(516) 746-7960
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010737
NY
Other
Enumeration date
06/21/2006
Last updated
09/07/2023
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