- Practice location
- 770 E 176TH St, Bronx, NY 10460-4617
- Phone
- 718-583-5150
- Fax
- —
- Last updated
- August 11, 2026
Andre Jerome Pulliam is a Peer Specialist based in Bronx, NY. Andre Jerome Pulliam practices in Bronx, NY. The NPI Number for Andre Jerome Pulliam is 1063337863. The current practice location address for Andre Jerome Pulliam is 770 E 176TH St, Bronx, NY 10460-4617 and can be reached out via phone at 718-583-5150.
Provider Profile Details
- NPI Number
- 1063337863
- Provider Name
- Andre Jerome Pulliam
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 770 E 176TH St, Bronx, NY 10460-4617
- Phone Number
- 718-583-5150
- Primary Taxonomy
- Peer Specialist · 175T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 11, 2026
- Last Update Date
- August 11, 2026
- Certification Date
- August 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 770 E 176TH St
Bronx, NY 10460-4617 - City
- Bronx
- State
- New York
- Zip
- 10460-4617
- Phone Number
- 718-583-5150
Provider Business Mailing Address Details
- Address
- 770 E 176TH St
Bronx, NY 10460-4617 - City
- Bronx
- State
- NY
- Zip
- 10460-4617
- Phone Number
- 718-583-5150
License Information
- License State
- NY
- Taxonomy
- Peer Specialist · 175T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Peer Specialists near Bronx, NY
View all Peer Specialists in Bronx →Frequently Asked Questions
What is the NPI number of Andre J Pulliam?
The NPI number of Andre J Pulliam is 1063337863. It was assigned on August 11, 2026 and is currently active in the NPPES registry.
What is the specialty of Andre J Pulliam?
Andre J Pulliam is registered under the primary taxonomy Peer Specialist (code 175T00000X).
Where does Andre J Pulliam practice?
The practice location is 770 E 176TH St, Bronx, NY 10460-4617. The office can be reached at 718-583-5150 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063337863 directly on the NPPES registry website.