Provider Demographics
NPI:1518349356
Name:HERAS BARROS, ANDREA FERNANDA (MD)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:FERNANDA
Last Name:HERAS BARROS
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 1:505 E 70TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4872
Mailing Address - Country:US
Mailing Address - Phone:646-962-3410
Mailing Address - Fax:
Practice Address - Street 1:505 EAST 70TH STREET
Practice Address - Street 2:NEW YORK
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-1002
Practice Address - Country:US
Practice Address - Phone:646-962-3410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-28
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY285239146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program