Andre Jerome Pulliam

Peer Specialist · Bronx, NY

Individual Active NPI

NPI number 1063337863

Practice location

770 E 176TH St
Bronx, NY 10460-4617
Phone
(718) 583-5150

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NPI record

NPI
1063337863
Entity type
Individual (Type 1)
Enumeration date
August 11, 2026
Last updated
August 11, 2026
Certified
August 11, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — NY

About Andre Pulliam

Andre Jerome Pulliam is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 770 E 176TH St, Bronx, NY 10460-4617. The NPI number 1063337863 was assigned on August 11, 2026 and the record was last updated on August 11, 2026.

Frequently asked questions

What is the NPI number of Andre Jerome Pulliam?

The NPI number is 1063337863.

What is the phone number of Andre Pulliam?

The phone number listed for the practice location is (718) 583-5150.

Where is Andre Pulliam located?

770 E 176TH St, Bronx, NY 10460-4617.

What is the taxonomy code for Andre Pulliam?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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