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Provider Information for 1245848316

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ANDREA K BLISS LPC

Other Name:   ANDREA GREENFIELD
Gender: FEMALE

Individual NPI: 1245848316

Calendar   Last Updated:  2020-07-15
  Certification Date:  2020-07-15

Details

Name Value
NPI 1245848316
Enumeration Date 2020-07-15
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 37 VANDEWATER DR
WAPPINGERS FALLS, NY 12590
United States

Phone: 201-563-4884 | Fax:
View Map External Link
Primary Practice Address 37 VANDEWATER DR
WAPPINGERS FALLS, NY 12590
United States

Phone: 201-563-4884 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 101YM0800X - Counselor Mental Health NJ 37PC00652400