Individual
ANNA NICOLE ANDRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
2903 FARGO RD, BALDWINSVILLE, NY 13027-8220
(315) 243-4386
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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