Healthcare Provider Details

I. General information

NPI: 1740036813
Provider Name (Legal Business Name): ANDREA FERNANDEZ VALLEDOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E 70TH ST FL 4
NEW YORK NY
10021-9800
US

IV. Provider business mailing address

520 E 70TH ST FL 4
NEW YORK NY
10021-9800
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-2381
  • Fax: 212-746-6665
Mailing address:
  • Phone: 212-746-2381
  • Fax: 212-746-6665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number340003
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number340003
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: