Provider Information for 1003335340
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Ms. ANDRIA LAURINE CONNELL CMHC
Sex: Female
NPI: 1003335340
Last Updated: 2024-02-21
Certification Date: 2024-02-21
Certification Date: 2024-02-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1003335340 | ||||||||
| Enumeration Date | 2017-09-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 477 MADISON AVE FL 6 NEW YORK, NY 10022-5827 United States Phone: 347-844-6900 | Fax: | ||||||||
| Primary Practice Address | 477 MADISON AVE FL 6 NEW YORK, NY 10022-5827 United States Phone: 347-844-6900 | Fax: | ||||||||
| Secondary Practice Address(es) | 251 LAFAYETTE ST | ||||||||
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