Individual
ANDREA ENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6987
Mailing address
8710 51ST AVE APT 5G, ELMHURST, NY 11373-3916
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308218
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308218
—
NY
Enumeration date
07/06/2017
Last updated
07/06/2017
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