Individual
ANDREW D. RACINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PH.D
Contact information
Practice address
1621 EASTCHESTER RD, SUITE 102, BRONX, NY 10461-2604
(718) 405-8040
(718) 405-8048
Mailing address
1621 EASTCHESTER RD, SUITE 102, BRONX, NY 10461-2604
(718) 405-8040
(718) 405-8048
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
166683
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01062353
—
NY
Enumeration date
10/26/2006
Last updated
02/02/2010
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