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NPI Code Detail

MEDICARE: MR. ANDRE GARCIA

MEDICARE: MR. ANDRE GARCIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497921068
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDRE GARCIA
Provider Business Mailing Address
First Line : 1925 HORSESHOE BND
Second Line :
City : TOBYHANNA
State : PA
Zip : 18466-3740
Country : US
Telephone Number : 347-510-3638
Fax Number : 347-510-3457
Provider Business Practice Location Address
First Line : 2976 NORTHERN BLVD
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-2822
Country : US
Telephone Number : 212-691-7554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2008
Last Update Date : 05/05/2008

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