Provider Demographics
NPI:1851558746
Name:CORDIALE, ANDREW JONATHAN (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JONATHAN
Last Name:CORDIALE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:2001 MARCUS AVE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-2061
Mailing Address - Country:US
Mailing Address - Phone:516-355-0111
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:2001 MARCUS AVE
Practice Address - Street 2:SUITE 170
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-2061
Practice Address - Country:US
Practice Address - Phone:516-355-0111
Practice Address - Fax:502-272-5116
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2014-08-29
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Provider Licenses
StateLicense IDTaxonomies
NY261604207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine