Provider Demographics
NPI:1902369044
Name:ANDREWS, LILY SANFORD (FNP-C, RN)
Entity Type:Individual
Prefix:
First Name:LILY
Middle Name:SANFORD
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:FNP-C, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 2ND ST UNIT 24
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-3079
Mailing Address - Country:US
Mailing Address - Phone:203-815-5230
Mailing Address - Fax:
Practice Address - Street 1:75 SPRING ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-4098
Practice Address - Country:US
Practice Address - Phone:646-906-9614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-06
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF344291363LF0000X
NY764192163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse