IndividualActive
Andrea Kermack, M.D.
NPI 1083021133 · Addiction Medicine (Internal Medicine) Physician · Bronx, NY
Provider details
- NPI number
- 1083021133
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 275487 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
804 E 138th
Bronx, NY 10039
Phone: (718) 665-7500
Approximate (ZIP-level) locationGet directions
Mailing address
804 E 138th
Bronx, NY 10039
Registry dates
- Enumerated
- 2014-07-21
- Last updated
- 2021-05-03
- Certified
- 2021-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.