Andrew Lingbloom PA-C

NPI 1780091306 - Physician Assistant - 363A00000X

NPI Details
NPI 1780091306
Gender Male
Enumeration Date 07/15/2014
Last Updated 12/01/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
2125 RIVER RD
SUITE 303
SCHENECTADY NY, 12309-1135, US
Phone (518) 382-8350
Fax (518) 382-0345
Business Location
501 NEW KARNER RD
SUITE 1A
ALBANY NY, 12205-3882, US
Phone (518) 452-1337
Fax (518) 724-6660
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 017728
Remove 1780091306 NPI Number
 

According to our database, Mr. Andrew Lingbloom PA-C NPI is 1780091306, taxonomy code is 363A00000X and license number is 017728, license state is located at New York. Andrew Lingbloom PA-C physically located at 2125 River Rd, Schenectady NY, 12309-1135. NPI Number Andrew Lingbloom PA-C has the Individual type.

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1780091306 NPI number is provided on an as is basis without warranty of any kind. 1780091306 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew Lingbloom PA-C are for informational purposes only.