Provider Demographics
NPI:1649408881
Name:KIERANS, ANDREA SIOBHAN (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:SIOBHAN
Last Name:KIERANS
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 1:525 E 72ND ST APT 36A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-9611
Mailing Address - Country:US
Mailing Address - Phone:508-265-1482
Mailing Address - Fax:
Practice Address - Street 1:525 E 72ND ST APT 36A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-9611
Practice Address - Country:US
Practice Address - Phone:508-265-1482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27468112085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology