Provider Demographics
NPI:1962842682
Name:WILLIAMS CUEVAS, ANDREA CHANEL (MASTERS IN EDUCATION)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:CHANEL
Last Name:WILLIAMS CUEVAS
Suffix:
Gender:F
Credentials:MASTERS IN EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4206 CARPENTER AVE
Mailing Address - Street 2:APT B5
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-2651
Mailing Address - Country:US
Mailing Address - Phone:404-509-8228
Mailing Address - Fax:
Practice Address - Street 1:4206 CARPENTER AVE
Practice Address - Street 2:APT B5
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2651
Practice Address - Country:US
Practice Address - Phone:404-509-8228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist