Individual
MR. ANDREW J WHITTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
200 FRONT STREET, SUITE A, VESTAL, NY 13850-1559
(607) 748-9001
(607) 748-8546
Mailing address
200 FRONT STREET, SUITE A, VESTAL, NY 13850-1559
(607) 748-9001
(607) 748-8546
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006230-1
NY
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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