Individual provider · Type 1 NPI

Andre Jerome Pulliam

Peer Specialist · Bronx, NY

NPI number 1063337863 Active

Practice location

770 E 176th St
Bronx, NY 10460-4617

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1063337863

Andre Jerome Pulliam's National Provider Identifier is 1063337863, issued on Aug 11, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bronx, NY. The record was last updated on Aug 11, 2026.