Provider Demographics
NPI:1518976000
Name:ANDRONE, LOUIS CRISTIAN (MD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:CRISTIAN
Last Name:ANDRONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:984 N BROADWAY
Mailing Address - Street 2:SUITE 405
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1318
Mailing Address - Country:US
Mailing Address - Phone:914-909-4522
Mailing Address - Fax:914-909-4524
Practice Address - Street 1:984 N BROADWAY
Practice Address - Street 2:SUITE 405
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1318
Practice Address - Country:US
Practice Address - Phone:914-909-4522
Practice Address - Fax:914-909-4524
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230000-0174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02495536Medicaid
NY02495536Medicaid
NY98S1825821Medicare PIN