Individual
MISS AUDREE BLYTHE TADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 E 66TH ST, NEW YORK, NY 10065-6800
(212) 639-2000
Mailing address
300 E 66TH ST, NEW YORK, NY 10065-6800
(212) 639-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
268374
NY
208600000X
Surgery Physician
Q9750
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2011
Last updated
04/24/2023
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