Abigail Andino, LPN
Individual provider Active NPI Contractor · Sidney Center, NY
NPI 1386191997 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1386191997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 5734 State Highway 35
Sidney Center, NY 13839 - Phone
- (607) 373-1118
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 317250 | NY | |
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
5734 State Highway 35
Sidney Center, NY 13839
Mailing address
5734 State Highway 35
Sidney Center, NY 13839
Phone (607) 373-1118
Other providers in Sidney Center, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.