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Individual

ANDREA E HERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
1243 PENNSYLVANIA AVE, PINE CITY, NY 14871-9230
(607) 734-3929
(607) 734-0781
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013370
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03155548
NY
Enumeration date
08/07/2009
Last updated
09/14/2011
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