Dr. Andrew Mcdonnell, MD
Radiology, Diagnostic Radiology in Fresh Meadows, NY. Individual provider (NPI-1).
NPI number1912968025
StatusActive
Last updated in NPPESMay 11, 2023
Details
- NPI
- 1912968025
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrew Mcdonnell
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2006
- Certification date
- May 11, 2023
- Last updated
- May 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 170764 | NY | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | M-2214 | GU | |
| 2085R0202X | Radiology, Diagnostic Radiology | 35.083869 | OH | |
| 2085R0202X | Radiology, Diagnostic Radiology | MD420326 | PA |
Practice location
15916 Union TpkeFresh Meadows, NY 11366-1954
Phone 718-275-1010
Mailing address
15916 Union TpkeFresh Meadows, NY 11366-1954
Phone 718-275-1010
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