Individual
ANDREA MISHELL CEVALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1000
Mailing address
2134 2ND AVE, NEW YORK, NY 10029-3369
(727) 667-3350
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/23/2023
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