Provider Demographics
NPI:1104804806
Name:KROPF, ANDREA JILL (OD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:JILL
Last Name:KROPF
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:293 ROUTE 100
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-3213
Mailing Address - Country:US
Mailing Address - Phone:914-302-6877
Mailing Address - Fax:914-302-6876
Practice Address - Street 1:293 ROUTE 100
Practice Address - Street 2:SUITE 208
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-3213
Practice Address - Country:US
Practice Address - Phone:914-302-6877
Practice Address - Fax:914-302-6876
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT006519-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU94275Medicare UPIN
NYC244C1Medicare ID - Type Unspecified