Individual
MR. ANDREW CHARLES WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
463 MAIN ST, STATEN ISLAND, NY 10307-1727
(917) 443-7633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015724
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03814133
—
NY
Enumeration date
07/10/2012
Last updated
09/02/2022
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