Provider Demographics
NPI:1447056502
Name:NAVARRO CARDENAS, ANDREA ISABEL (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:ISABEL
Last Name:NAVARRO CARDENAS
Suffix:
Gender:
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6610 11TH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5901
Mailing Address - Country:US
Mailing Address - Phone:917-455-1600
Mailing Address - Fax:
Practice Address - Street 1:44 COURT ST STE 314
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4419
Practice Address - Country:US
Practice Address - Phone:917-455-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM009822-01224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant