Individual
ANDREW KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2 BROAD STREET PLZ, GLENS FALLS, NY 12801-4363
(518) 926-1770
(518) 926-1799
Mailing address
PO BOX 304, GLENS FALLS, NY 12801-0304
(518) 926-6999
(518) 926-6984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007870
NY
363AS0400X
Surgical Physician Assistant
0078701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02509584
—
NY
Enumeration date
06/02/2006
Last updated
02/10/2010
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