Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andre Daniel Immanuel, MD

Individual provider Internal Medicine Physician · NPI 1396273355

Dr. Andre Daniel Immanuel, MD is an Internal Medicine Physician in Brooklyn, New York. Licensed in Connecticut. Registered with an NPI since 2017.

Licensed in
CT
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone: (718) 270-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 69629 (CT)

Record details

NPI number1396273355
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2017
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021

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