Provider Demographics
NPI:1124256862
Name:NURSE PRACTITIONER IN FAMILY HEALTH , P.C.
Entity type:Organization
Organization Name:NURSE PRACTITIONER IN FAMILY HEALTH , P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ANDOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:914-909-6096
Mailing Address - Street 1:19 WOODLANDS AVE N
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-2512
Mailing Address - Country:US
Mailing Address - Phone:914-909-6096
Mailing Address - Fax:347-398-0742
Practice Address - Street 1:19 WOODLANDS AVE N
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-2512
Practice Address - Country:US
Practice Address - Phone:914-909-6096
Practice Address - Fax:347-398-0742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF335226-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty