Organization
JOSEPH R ANDRADE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH RICARDO ANDRADE SR. M.D (PHYSICIAN)
(718) 589-3501
Entity
Organization
Contact information
Practice address
1163 MANOR AVE, 1423 WYTHE PL, BRONX, NY 10472-3901
(718) 589-3501
(718) 589-1012
Mailing address
131 FOX MEADOW RD, SCARSDALE, NY 10583-2301
(718) 589-3501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
166744
NY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
166744
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009180
GHI
NY
05
—
01762454
—
NY
01
—
0376636
CIGNA
NY
01
—
1C3448
HEALTH NET
NY
01
—
P430471
OXFORD
NY
Enumeration date
08/08/2006
Last updated
11/07/2007
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