Healthcare Provider Details

I. General information

NPI: 1346178514
Provider Name (Legal Business Name): ANDREW JOSEPH BILOTTI PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E 210TH ST
BRONX NY
10467-2401
US

IV. Provider business mailing address

253 GARTH RD APT 2J
SCARSDALE NY
10583-4011
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-7460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number408019
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: