Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 22125 | FL |
Y | 2251X0800X | Physical Therapist - Orthopedic | 025232 | NY |
NPI | 1003948381 |
---|---|
Provider Name | Dr. Kammar J Andries |
First Address | Jamaica, NY 11435-3642 |
Second Address | Jamaica, NY 11435-3642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 04/02/2008 |