Provider Demographics
NPI:1568465292
Name:STRAUSS, ANDREW J
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 W ROUTE 59
Mailing Address - Street 2:STE 4
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2234
Mailing Address - Country:US
Mailing Address - Phone:845-624-0010
Mailing Address - Fax:845-624-0067
Practice Address - Street 1:75 W ROUTE 59
Practice Address - Street 2:STE 2035
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2704
Practice Address - Country:US
Practice Address - Phone:845-624-0010
Practice Address - Fax:845-624-0067
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX3294111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX5P041Medicare PIN
NYU93130Medicare UPIN