Provider Demographics
NPI:1912431230
Name:ANDREANI, ALEX JOSEPH (RN)
Entity Type:Individual
Prefix:MR
First Name:ALEX
Middle Name:JOSEPH
Last Name:ANDREANI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CENTER ST
Mailing Address - Street 2:APARTMENT #2
Mailing Address - City:MACEDON
Mailing Address - State:NY
Mailing Address - Zip Code:14502
Mailing Address - Country:US
Mailing Address - Phone:315-226-0145
Mailing Address - Fax:
Practice Address - Street 1:4 CENTER ST
Practice Address - Street 2:APARTMENT #2
Practice Address - City:MACEDON
Practice Address - State:NY
Practice Address - Zip Code:14502-8896
Practice Address - Country:US
Practice Address - Phone:315-226-0145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY658278251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care