Provider Demographics
NPI:1033650502
Name:BEHRMAN, ANDREA ROCKEY (CPNP-AC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:ROCKEY
Last Name:BEHRMAN
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 LAFAYETTE ST APT 5D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-4012
Mailing Address - Country:US
Mailing Address - Phone:610-457-8604
Mailing Address - Fax:
Practice Address - Street 1:225 LAFAYETTE ST APT 5D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-4012
Practice Address - Country:US
Practice Address - Phone:610-457-8604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-16
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY431054363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care