Andrew Davalos

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

24902 Jericho Tpke Ste 207
Floral Park, NY 11001-4000

Phone

(718) 635-2404

NPI assigned

Dec 1, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A to Z Child Development, LLC

  • Early Intervention Provider Agency
  • Floral Park, NY
  • NPI 1972984557
  NPD (past)
• Get Ahead With MK

  • Specialist
  • Floral Park, NY
  • NPI 1124665112
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1033623830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24902 JERICHO TPKE STE 207",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110014000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24902 JERICHO TPKE STE 207",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110014000",
            "telephone_number": "718-635-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVALOS",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Albany LLC
• Maya Cydulkin, PT
• Trasaya Cyrus
• Claire Elizabeth Daly, LMSW
• Danielle Kruger PA-C Inc
• Myrtic Davis-Taylor
• Dorothy S De Castro, R.N
• Ana M Dellorusso, MD
• Jennifer Rose Demaria
• Joanne P. Demartino-Sadowski, L.C.S.W.

• Case Manager/Care Coordinator in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.