Provider Demographics
NPI:1285617274
Name:CARTY, ANDREA LYNN (MS PT)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:LYNN
Last Name:CARTY
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:MRS
Other - First Name:ANDREA
Other - Middle Name:LYNN
Other - Last Name:SCHULMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS PT
Mailing Address - Street 1:15 ENGLE ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2927
Mailing Address - Country:US
Mailing Address - Phone:201-567-2277
Mailing Address - Fax:201-567-7506
Practice Address - Street 1:365 ROUTE 304
Practice Address - Street 2:SUITE 102
Practice Address - City:BARDONIA
Practice Address - State:NY
Practice Address - Zip Code:10954-1601
Practice Address - Country:US
Practice Address - Phone:845-624-2182
Practice Address - Fax:845-624-2188
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021083225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist