Individual
ANDRISE LADOUCEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 LANDFORD DR, ELMONT, NY 11003-4110
(718) 739-0045
Mailing address
185 LANDFORD DR, ELMONT, NY 11003-4110
(718) 739-0045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
459948-01
NY
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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