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Individual

ANDREW STEPHEN WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
295 MADISON AVE RM 1026, NEW YORK, NY 10017-7725
(612) 682-7860
Mailing address
295 MADISON AVE RM 1026, NEW YORK, NY 10017-7725
(212) 682-7860

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
045222-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
045222-01
PHYSICAL THERAPY LICENSE
NY
Enumeration date
11/26/2019
Last updated
11/26/2019
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