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General NPI Number Information
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NPI Number | 1104847771
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Entity Type | Individual
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Provider Name | ANDREW JOE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 701 W 168TH ST HHSC 1509
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City | NEW YORK
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State | NY
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Zip | 10032-2704
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Country | US
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Telephone | 212-305-6916
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Fax | 212-305-6889
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Provider Business Mailing Address
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Address Line | 701 W 168TH ST HHSC 1509
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City | NEW YORK
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State | NY
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Zip | 10032-2704
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Country | US
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Telephone | 212-305-6916
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Fax | 212-305-6889
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 193166
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License Number State | NY
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