Andrea Phyllis Sebo, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

467271 Issued in NY

Practice address

14 Bay Ave
Floor 1
Oyster Bay, NY 11771-1507

Phone

(516) 584-6050

NPI assigned

Aug 15, 2013

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1700219565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BAY AVE",
            "address_2": "FLOOR 1",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117711507",
            "telephone_number": "516-584-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BAY AVE",
            "address_2": "FLOOR 1",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117711507",
            "telephone_number": "516-584-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBO",
        "first_name": "ANDREA",
        "middle_name": "PHYLLIS",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "467271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Thomas Samodulski, D.P.T.
• Katherine Samodulski, LMHC
• James Eugene Santelli Jr., DDS
• Joni Scheidt, MD
• Christopher Schrager, ATC
• Ann Sefton, L.AC
• Ophelia Makafue Senu
• Shahrzad a Dilmaghani DPM PLLC
• Leslie R. Shields, LCSW
• Deborah L Singer, LCSW

• Registered Nurse in Oyster Bay, NY
• Providers in Oyster Bay, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.