Provider Demographics
NPI:1093973257
Name:TEPPER, ANDREW (PHD, CNS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:TEPPER
Suffix:
Gender:M
Credentials:PHD, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 HEATHCOTE RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-7154
Mailing Address - Country:US
Mailing Address - Phone:914-239-3756
Mailing Address - Fax:
Practice Address - Street 1:319 HEATHCOTE RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-7154
Practice Address - Country:US
Practice Address - Phone:914-239-3756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006485133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist