Individual
MRS. ANDREA AMELIA LLEWELLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 COURT STREET, WHITE PLAINS, NY 10601
(914) 946-2810
Mailing address
24 OVERHILL RD, ELMSFORD, NY 10523-3823
(914) 592-1343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12371
NY
163W00000X
Registered Nurse
461772-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461772-1
LICENSE
NY
Enumeration date
07/21/2017
Last updated
06/16/2018
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