Provider Demographics
NPI:1033421789
Name:PYO, ANDREW FRANCIS (LAC)
Entity Type:Individual
Prefix:PROF
First Name:ANDREW
Middle Name:FRANCIS
Last Name:PYO
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25018 41ST RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11363-1713
Mailing Address - Country:US
Mailing Address - Phone:718-578-0000
Mailing Address - Fax:
Practice Address - Street 1:25018 41ST RD
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11363-1713
Practice Address - Country:US
Practice Address - Phone:718-578-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-10
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003653171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist