Individual
DR. ANDREA MARTINEZ KONDRACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
317 W 107TH ST APT 1B, NEW YORK, NY 10025-2779
(212) 496-8916
Mailing address
317 WEST 107 STREET 1B, NYC, NY 10025
(212) 496-8916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225852
NY
2084P0800X
Psychiatry Physician
225852
NY
Other
Enumeration date
04/09/2007
Last updated
09/11/2025
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