Individual
ANDREA MICHELLE AZUCENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
622 W 168TH ST PH 11-102, NEW YORK, NY 10032-3720
(212) 305-0762
Mailing address
622 W 168TH ST PH 11-102, NEW YORK, NY 10032-3720
(212) 305-0762
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310441
NY
Other
Enumeration date
09/18/2021
Last updated
03/21/2023
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