Individual
DR. ANDREW T PELLECCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-6076
(315) 624-4776
Mailing address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-6076
(315) 624-4776
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
247096-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03023172
—
NY
Enumeration date
04/28/2008
Last updated
09/23/2015
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