Individual
JOSEPH ANDUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
46 HARRISON ST, JOHNSON CITY, NY 13790-2120
(607) 729-4942
(607) 729-7516
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905-1040
(607) 729-8156
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
007838
NY
363AS0400X
Surgical Physician Assistant
Primary
007838
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02160570
—
NY
Enumeration date
07/15/2006
Last updated
04/26/2016
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