Individual
MS. ANDREA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 MEADOW LN, HICKSVILLE, NY 11801-5306
(516) 286-7976
Mailing address
71 MEADOW LN, HICKSVILLE, NY 11801-5306
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
566775-1
NY
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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