Provider Demographics
NPI:1184035180
Name:ESTRELLA, ANDREA (MAED)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:ESTRELLA
Suffix:
Gender:F
Credentials:MAED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7420 65TH ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-6949
Mailing Address - Country:US
Mailing Address - Phone:347-886-7021
Mailing Address - Fax:
Practice Address - Street 1:7420 65TH ST
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-6949
Practice Address - Country:US
Practice Address - Phone:347-886-7021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist