Skip Navigation

Provider Information for 1992002042

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

ANDREW DISIMONE

Gender: MALE

Individual NPI: 1992002042

Calendar   Last Updated:  2011-02-24
  Certification Date: 

Details

Name Value
NPI 1992002042
Enumeration Date 2011-02-24
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 855 LEXINGTON AVE 2ND FLOOR
NEW YORK, NY 10065-6640
United States

Phone: 212-717-4000 | Fax: 212-439-6238
View Map External Link
Primary Practice Address 855 LEXINGTON AVE 2ND FLOOR
NEW YORK, NY 10065-6640
United States

Phone: 212-717-4000 | Fax: 212-439-6238
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 146N00000X - Emergency Medical Technician, Basic NY 045279