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Individual

JEFFREY SCOTT ANDREWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, ATC

Contact information

Practice address
310 TAUGHANNOCK BLVD, SUITE 5A, ITHACA, NY 14850-3251
(607) 252-3580
Mailing address
7 PHEASANT WALK, APT # 2, ITHACA, NY 14850-9650
(607) 738-8629

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001698-1
NY

Other

Enumeration date
03/04/2010
Last updated
03/04/2010
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