Individual
MRS. ANDRE ANN D MCMILLAN-TARNAGUIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 W 114TH ST, NEW YORK, NY 10026-3068
(718) 612-9557
Mailing address
114 W 114TH ST, NEW YORK, NY 10026-3068
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
763526-1
NY
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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