Individual
ANDREA GEFELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1208 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2640
Mailing address
1208 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2640
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011803
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03076322
—
NY
Enumeration date
12/27/2006
Last updated
02/07/2019
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