Mary Andrea, DPM
Podiatrist in Ozone Park, NY. Individual provider (NPI-1).
NPI number1487675104
StatusActive
Last updated in NPPESApr 28, 2026
Details
- NPI
- 1487675104
- Entity type
- Individual (NPI-1)
- Name
- Mary Andrea
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2006
- Certification date
- Apr 28, 2026
- Last updated
- Apr 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | N006076-1 | NY | Yes |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | N006076-1 | NY | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | NY | |
| 207PE0005X | Emergency Medicine, Undersea and Hyperbaric Medicine | N006076-01 | NY |
Practice location
9116 101st AveOzone Park, NY 11416-2219
Phone 718-482-0010 · Fax 718-482-0012
Mailing address
9116 101st AveOzone Park, NY 11416-2219
Phone 718-482-0010 · Fax 718-482-0012
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