Provider Demographics
NPI:1174496350
Name:GOLDEN, ANDREA C
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:C
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HICKORY RD
Mailing Address - Street 2:
Mailing Address - City:SLOATSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10974-1812
Mailing Address - Country:US
Mailing Address - Phone:201-669-0831
Mailing Address - Fax:
Practice Address - Street 1:10 HICKORY RD
Practice Address - Street 2:
Practice Address - City:SLOATSBURG
Practice Address - State:NY
Practice Address - Zip Code:10974-1812
Practice Address - Country:US
Practice Address - Phone:201-669-0831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty