Individual
MARY ANDREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
9116 101ST AVE, OZONE PARK, NY 11416-2219
(718) 482-0010
(718) 482-0012
Mailing address
9116 101ST AVE, OZONE PARK, NY 11416-2219
(718) 482-0010
(718) 482-0012
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
N006076-01
NY
213E00000X
Podiatrist
Primary
N006076-1
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
N006076-1
NY
332B00000X
Durable Medical Equipment & Medical Supplies
—
NY
Other
Enumeration date
07/21/2006
Last updated
04/28/2026
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