Individual
ANDRENE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-3300
Mailing address
26901 76TH AVE # 11040, NEW HYDE PARK, NY 11040-1433
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
263918
NY
2084P0804X
Child & Adolescent Psychiatry Physician
263918
NY
Other
Enumeration date
03/21/2010
Last updated
01/30/2017
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