Provider Demographics
NPI:1932477122
Name:ANDREWS, JOAN B
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:B
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JOAN
Other - Middle Name:B
Other - Last Name:ABRAMSANDREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1 LARKIN CENTER
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701
Mailing Address - Country:US
Mailing Address - Phone:914-376-8455
Mailing Address - Fax:914-965-5158
Practice Address - Street 1:1 LARKIN CTR
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701
Practice Address - Country:US
Practice Address - Phone:914-376-8455
Practice Address - Fax:914-965-5158
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY291896163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse