Provider Demographics
NPI:1245019488
Name:ANDRAWIS, NEVINE (COTA)
Entity type:Individual
Prefix:
First Name:NEVINE
Middle Name:
Last Name:ANDRAWIS
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6621 78TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-2714
Mailing Address - Country:US
Mailing Address - Phone:347-817-0570
Mailing Address - Fax:
Practice Address - Street 1:6621 78TH ST APT 1
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-2714
Practice Address - Country:US
Practice Address - Phone:347-817-0570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant