Physician Compare National (NPI:1487675104)

HEALTHCARE PROVIDER: MARY ANDREA DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1487675104
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850342809
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050207000805
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ANDREA
	Individual professional last name
Provider First Name	MARY
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4604 31ST AVE
	Group Practice or individual's line 1 address
City	LONG ISLAND CITY
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	111031842
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y