Individual
MIRLYNE ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1587 E 49TH ST, BROOKLYN, NY 11234-3126
(929) 302-1856
Mailing address
1587 E 49TH ST, BROOKLYN, NY 11234-3126
(929) 302-1856
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
744373
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
F354158-01
NY
Other
Enumeration date
02/20/2018
Last updated
06/13/2024
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