Individual
ANDREA M DEDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
17 MAIN ST, QUEENSBURY, NY 12804-4007
(518) 798-0767
(518) 798-0815
Mailing address
17 MAIN ST, QUEENSBURY, NY 12804-4007
(518) 798-0767
(518) 798-0815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008010
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02352436
—
NY
Enumeration date
06/29/2006
Last updated
01/27/2015
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