ANDRADE MEDICAL PLLC NPI 1801123617

NPI Information

NPI: 1801123617
Provider Name: ANDRADE MEDICAL PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 33D2289857

Address:
1163 MANOR AVE FRNT 2
BRONX, NY
ZIP 10472
Phone: (718) 589-3501
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ANDRADE MEDICAL PLLC is a multi-specialty clinic center in Bronx, NY. ANDRADE MEDICAL PLLC NPI is 1801123617. The provider is registered as an organization entity type.

The provider's business location address is:

1163 MANOR AVE FRNT 2
BRONX, NY
ZIP 10472-972
Phone: (718) 589-3501
Fax: (718) 589-1012

The provider's authorized official is David Jacob .
The authorized official title is Cred Manager and has the following contact phone number (347) 650-2775.

The CLIA number assigned to this NPI record is 33D2289857 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2009 and was last updated on 12/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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