| Joseph R Andrade Md Pc | |
|
1163 Manor Ave 1423 Wythe Pl Bronx NY 10472-3901 | |
| (718) 589-3501 | |
| (718) 589-1012 |
| Full Name | Joseph R Andrade Md Pc |
|---|---|
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 1163 Manor Ave, Bronx, New York |
| Authorized Official Name and Position | Joseph Ricardo Andrade (PHYSICIAN) |
| Authorized Official Contact | 7185893501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph R Andrade Md Pc 131 Fox Meadow Rd Scarsdale NY 10583-2301 Ph: (718) 589-3501 | Joseph R Andrade Md Pc 1163 Manor Ave 1423 Wythe Pl Bronx NY 10472-3901 Ph: (718) 589-3501 |
| NPI Number | 1992715585 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 11/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992715585 | NPI | - | NPPES |
| 1C3448 | Other | NY | HEALTH NET |
| 01762454 | Medicaid | NY | |
| 0009180 | Other | NY | GHI |
| 0376636 | Other | NY | CIGNA |
| P430471 | Other | NY | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 166744 (New York) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 166744 (New York) | Primary |
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