Alicia Andrew

Individual provider Active NPI Licensed Practical Nurse · Ardsley, NY

NPI 1780147595 · NPPES record last updated Apr 9, 2019

Key facts

NPI
1780147595
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
326400 (NY)
Practice address
547 Saw Mill River Rd
Ardsley, NY 10502-2143
Phone
(212) 687-7464
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
326400NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 326400 NY Yes

Addresses

Primary practice location

547 Saw Mill River Rd
Ardsley, NY 10502-2143

Mailing address

22 Webb Farm Rd
Monroe, NY 10950-5641

Other providers in Ardsley, NY

All providers in Ardsley, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.