Healthcare Provider Details

I. General information

NPI: 1831342278
Provider Name (Legal Business Name): ANDREA CIOFFI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2008
Last Update Date: 10/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 HEMLOCK DR
CONGERS NY
10920-1401
US

IV. Provider business mailing address

5 TERMASEN DR
STONY POINT NY
10980-1012
US

V. Phone/Fax

Practice location:
  • Phone: 845-267-0110
  • Fax:
Mailing address:
  • Phone: 845-519-4509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number016400-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: