Individual
ALICIA ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
547 SAW MILL RIVER RD, ARDSLEY, NY 10502-2143
(212) 687-7464
Mailing address
22 WEBB FARM RD, MONROE, NY 10950-5641
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326400
NY
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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