Andrade, Allen Dominic
Andrade, Allen Dominic is an sole proprietor health care provider with primary practice located at 1468 Madison Ave , New York NY 10029-6508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Andrade, Allen Dominic can be contacted via phone (212) 241-6500.Contact Information
Primary practice address
1468 Madison Ave
New York NY 10029-6508
Phone: (212) 241-6500
Fax: (212) 426-5054
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 276365 | New York |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 276365 | New York |
Profile Details
NPI number | 1396918868 |
---|---|
LBN Legal business name | Andrade, Allen Dominic |
Credentials | MD DM(LON) MRCP(UK) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 7th, 2008 |
Last updated | Feb 11th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396918868 | NPPES |
New York | MEDICAID | 03991848 |
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