Andrea Bily, ATC
Individual provider Active NPI Athletic Trainer · Carmel, NY
NPI 1962868083 · NPPES record last updated Jan 5, 2016
Key facts
- NPI
- 1962868083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 001116-1 (NY)
- Practice address
- 29 Stonegate CT
Carmel, NY 10512-2427 - Phone
- (914) 629-0023
- NPI assigned
- Jan 5, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001116-1 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001116-1 | NY | Yes |
Addresses
Primary practice location
29 Stonegate CT
Carmel, NY 10512-2427
Mailing address
29 Stonegate CT
Carmel, NY 10512-2427
Phone (914) 629-0023
Other providers in Carmel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 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.