EDUARDO ANTONIO ANDRICKSON

CORONA, NY
NPI1518409945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other Surgical Assistant
(Licence: NY  14-616)
Enumeration Date2016-11-16
Last Update Date2016-11-16
Business Address
DR. EDUARDO ANTONIO ANDRICKSON M.D
3426 103RD ST PH
CORONA, NY 11368-1125
Phone number: 917-651-6406
Mailing Address
DR. EDUARDO ANTONIO ANDRICKSON M.D
3426 103RD ST PH
CORONA, NY 11368-1125
Phone number: 917-651-6406