| Andrea Health Care Llc | |
|
9116 101st Ave Ozone Park NY 11416-2219 | |
| (845) 893-4169 | |
| Not Available |
| Full Name | Andrea Health Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9116 101st Ave, Ozone Park, New York |
| Authorized Official Name and Position | Mary Andrea (OWNER) |
| Authorized Official Contact | 7184820010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Health Care Llc 9116 101st Ave Ozone Park NY 11416-2219 Ph: (845) 893-4169 | Andrea Health Care Llc 9116 101st Ave Ozone Park NY 11416-2219 Ph: (845) 893-4169 |
| NPI Number | 1922764133 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 06/20/2024 |
| Medicare PECOS PAC ID | 7315333200 |
|---|---|
| Medicare Enrollment ID | O20220331003043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922764133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Mary Andrea |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487675104 PECOS PAC ID: 1850342809 Enrollment ID: I20050207000805 |
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