Doctor Name: | DR. ANDREW J CORDARO |
NPI Number: | 1457694507 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D.. |
License Number: | 129664 |
Business Practice Address: | 81 Sycamore Ave Mount Vernon, NY - 105531241 |
Business Phone Number: | 9146688254 |
Business Fax Number: | 9146651584 |
Mailing Address: | 81 Sycamore Ave, MOUNT VERNON |
State: | NY |
Postal Code: | 105531241 |
Phone Number: | 9146688254 |
Fax Number: | 9146651584 |
NPI Enumeration Date: | 03/27/2013 |
NPI Last Update Date: | 03/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 129664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |