- Practice location
- 804 E 138TH, Bronx, NY 10039
- Phone
- 718-665-7500
- Fax
- —
- Last updated
- May 3, 2021
Andrea Kermack is an Internal Medicine, Addiction Medicine based in Bronx, NY. Andrea Kermack practices in Bronx, NY and has the professional credentials of MD. The NPI Number for Andrea Kermack is 1083021133 and holds a License No. 275487 (NY). The current practice location address for Andrea Kermack is 804 E 138TH, Bronx, NY 10039 and can be reached out via phone at 718-665-7500.
Provider Profile Details
- NPI Number
- 1083021133
- Provider Name
- Andrea Kermack
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 804 E 138TH, Bronx, NY 10039
- Phone Number
- 718-665-7500
- Primary Taxonomy
- Internal Medicine, Addiction Medicine · 207RA0401X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 21, 2014
- Last Update Date
- May 3, 2021
- Certification Date
- May 3, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 804 E 138TH
Bronx, NY 10039 - City
- Bronx
- State
- New York
- Zip
- 10039
- Phone Number
- 718-665-7500
Provider Business Mailing Address Details
- Address
- 804 E 138TH
Bronx, NY 10039 - City
- Bronx
- State
- NY
- Zip
- 10039
- Phone Number
- 718-665-7500
License Information
- License Number (1)
- 275487
- License State (1)
- NY
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 275487
- License State (2)
- NY
- Taxonomy (2)
- Internal Medicine, Addiction Medicine · 207RA0401X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Addiction Medicine providers near Bronx, NY
View all Internal Medicine, Addiction Medicine providers in Bronx →- Constantine Diakolios, MDInternal Medicine, Addiction Medicine · NPI 1366584724
- Dr. Laila Khalid, MDInternal Medicine, Addiction Medicine · NPI 1518107507
- Dr. Tiffany Y Lu, MDInternal Medicine, Addiction Medicine · NPI 1568725257
- Patricia De Lima, MDInternal Medicine, Addiction Medicine · NPI 1588105985
Frequently Asked Questions
What is the NPI number of Dr. Andrea Kermack, MD?
The NPI number of Dr. Andrea Kermack, MD is 1083021133. It was assigned on July 21, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Andrea Kermack, MD?
Dr. Andrea Kermack, MD is registered under the primary taxonomy Internal Medicine, Addiction Medicine (code 207RA0401X), licensed in NY under license number 275487.
Where does Dr. Andrea Kermack, MD practice?
The practice location is 804 E 138TH, Bronx, NY 10039. The office can be reached at 718-665-7500 (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 1083021133 directly on the NPPES registry website.