Organization
ANDRADE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JACOB (CRED MANAGER)
(347) 650-2775
Entity
Organization
Contact information
Practice address
1163 MANOR AVE FRNT 2, BRONX, NY 10472-3972
(718) 589-3501
(718) 589-1012
Mailing address
1163 MANOR AVE FRNT 2, BRONX, NY 10472-3972
(718) 589-3501
(718) 589-1012
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2009
Last updated
12/08/2023
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