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Individual

ANDREA ISAACS-CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16326 145TH RD, JAMAICA, NY 11434-5115
(718) 877-9991
Mailing address
163-26 145TH RD, JAMAICA, NY 11434
(718) 877-9991

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315951
NY

Other

Enumeration date
01/22/2016
Last updated
01/22/2016
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