Individual
DR. JEROME C ANDRES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7300 PORTER RD, NIAGARA FALLS, NY 14304-5705
(716) 298-5862
(716) 285-3622
Mailing address
7300 PORTER RD, NIAGARA FALLS, NY 14304-5705
(716) 298-5862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
150366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00826137
—
NY
Enumeration date
07/12/2005
Last updated
07/08/2007
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