Provider Demographics
NPI:1699970129
Name:JUE, ANDREA (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:
Last Name:JUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 MOTT ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-5540
Mailing Address - Country:US
Mailing Address - Phone:914-768-3333
Mailing Address - Fax:
Practice Address - Street 1:1850 SULLIVAN AVENUE
Practice Address - Street 2:SUITE 540
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2215
Practice Address - Country:US
Practice Address - Phone:650-755-6900
Practice Address - Fax:650-755-2107
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2608671207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology