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Contact Information

MARY ANDREA, DPM
91-16 101ST AVENUE
MEDICAL OFFICE
OZONE PARK, NY11416
 Phone: 718-482-0010
 Fax: 718-482-0012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MARY ANDREA · (Female)

NPI # 1487675104
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/21/2006
Last updated 04/28/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • NY License # N006076-01
  • NY License # N006076-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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