Provider Demographics
NPI:1326106295
Name:HESSEL, ANDREA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:M
Last Name:HESSEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 E 27TH ST
Mailing Address - Street 2:APT. 1G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9017
Mailing Address - Country:US
Mailing Address - Phone:212-684-6514
Mailing Address - Fax:
Practice Address - Street 1:145 E 27TH ST
Practice Address - Street 2:APT. 1G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9017
Practice Address - Country:US
Practice Address - Phone:212-684-6514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1385072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695547Medicaid
NY00695547Medicaid
NY00695547Medicaid