Andrade, Javier Enrique

Andrade, Javier Enrique is an individual health care provider with primary practice located at 327 Beach 19Th St , Far Rockaway NY 11691-4423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Andrade, Javier Enrique can be contacted via phone (718) 869-7000.

Contact Information

Primary practice address
327 Beach 19Th St Far Rockaway NY 11691-4423
Phone: (718) 869-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X BP1-0027563 Texas

Profile Details

NPI number 1376747964
LBN Legal business name Andrade, Javier Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Sep 18th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376747964 NPPES
Other 4623933177 MYUTMB 4623933177-COMMERCIAL NUMBER

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