Provider Demographics
NPI:1215654942
Name:TAPP, ANDREW M (MSW)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:M
Last Name:TAPP
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:MR
Other - First Name:AVI
Other - Middle Name:M
Other - Last Name:TAPP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:781 EASTERN PKWY APT B5
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-3432
Mailing Address - Country:US
Mailing Address - Phone:716-939-1132
Mailing Address - Fax:
Practice Address - Street 1:781 EASTERN PKWY APT B5
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-3432
Practice Address - Country:US
Practice Address - Phone:716-939-1132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker