Individual provider · Type 1 NPI
Andrea Kermack, MD
Addiction Medicine (Internal Medicine) Physician · Bronx, NY
NPI number
1083021133
Active
Practice location
804 E 138th
Bronx, NY 10039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 275487 (NY) |
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | 275487 (NY) |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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About NPI 1083021133
Andrea Kermack, MD's National Provider Identifier is 1083021133, issued on Jul 21, 2014. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Bronx, NY. The record was last updated on May 3, 2021.