NPIMap

Alejandro Manuel Andrade-Vicenty, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Mineola, NY

NPI 1114665221 · NPPES record last updated Jul 13, 2023

Key facts

NPI
1114665221
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
222 Station PLZ N Ste 510
Mineola, NY 11501-3893
Phone
(516) 663-2521
Fax
(516) 663-9665
NPI assigned
May 27, 2022
Reactivated
Jul 13, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

222 Station PLZ N Ste 510
Mineola, NY 11501-3893

Mailing address

222 Station PLZ N Ste 510
Mineola, NY 11501-3893
Phone (914) 484-1165

Other providers in Mineola, NY

All providers in Mineola, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.