Individual
ANDREA MICHELLE DEIERLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
706 EXECUTIVE BLVD STE D, VALLEY COTTAGE, NY 10989-2039
(845) 362-3904
Mailing address
706 EXECUTIVE BLVD STE D, VALLEY COTTAGE, NY 10989-2039
(845) 362-3904
(845) 362-5803
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
730000
NY
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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