Cordova, Andrea

Cordova, Andrea is an individual health care provider with primary practice located at 390 Montauk Hwy , West Islip NY 11795. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cordova, Andrea can be contacted via phone (631) 422-0700.

Contact Information

Primary practice address
390 Montauk Hwy West Islip NY 11795
Phone: (631) 422-0700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 623051 New York

Profile Details

NPI number 1518349901
LBN Legal business name Cordova, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2015
Last updated Jun 19th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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