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Individual

DR. RIOLIN C ANDRADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
117 MARY'S AVE, SUITE 102, KINGSTON, NY 12401
(845) 338-5555
(845) 338-2404
Mailing address
117 MARYS AVE STE 102, KINGSTON, NY 12401-5849
(845) 706-3491
(845) 338-3088

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
165872-1
NY
207RH0003X
Hematology & Oncology Physician
Primary
165872-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00948545
NY
Enumeration date
06/01/2005
Last updated
12/21/2021
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