Individual
ANDREW JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 BROAD ST, ONEIDA, NY 13421-2149
(315) 363-5421
Mailing address
115 PROSPECT ST, CANASTOTA, NY 13032-1436
(315) 794-4895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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