Organization
ANDRE J. CODISPOTI, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE J. CODISPOTI M.D. (OWNER)
(845) 357-0741
Entity
Organization
Contact information
Practice address
7 HEMION RD, SUFFERN, NY 10901-4903
(845) 357-0741
(845) 357-0792
Mailing address
70 GILBERT ST, SUITE 205, MONROE, NY 10950-1538
(845) 783-0999
(845) 783-4133
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0999212
NY
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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