Individual
BREEZE S ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MAIN ST STE B, GOSHEN, NY 10924-1636
(845) 458-8661
Mailing address
91 SHORE DR, NEW WINDSOR, NY 12553-5487
(801) 815-5283
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011186
NY
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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