Provider Demographics
NPI:1881049641
Name:ANDREU, JENA LEIGH (DO)
Entity type:Individual
Prefix:
First Name:JENA
Middle Name:LEIGH
Last Name:ANDREU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 E 69TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5705
Mailing Address - Country:US
Mailing Address - Phone:646-692-6946
Mailing Address - Fax:
Practice Address - Street 1:240 E 69TH ST FL 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5705
Practice Address - Country:US
Practice Address - Phone:646-962-6956
Practice Address - Fax:646-692-0174
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2936782084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine