Mckerrell, Andrea Nicole

Mckerrell, Andrea Nicole is an individual health care provider with primary practice located at 128 Bailey Farm Rd , Monroe NY 10950-4952. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Mckerrell, Andrea Nicole can be contacted via phone (845) 655-6049.

Contact Information

Primary practice address
128 Bailey Farm Rd Monroe NY 10950-4952
Phone: (845) 655-6049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Eye and Vision Services Providers / Optometrist 152W00000X TUV009311 New York

Profile Details

NPI number 1164046918
LBN Legal business name Mckerrell, Andrea Nicole
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2020
Last updated Mar 9th, 2021 - about 3 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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