Healthcare Provider Details

I. General information

NPI: 1285564419
Provider Name (Legal Business Name): ANDREA ZALDIVAR, NP IN ADULT HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

468 81ST ST
BROOKLYN NY
11209-3905
US

IV. Provider business mailing address

468 81ST ST
BROOKLYN NY
11209-3905
US

V. Phone/Fax

Practice location:
  • Phone: 917-330-4060
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANDREA ZALDIVAR
Title or Position: OWNER
Credential: SERPE
Phone: 917-330-4060