Individual
ANDREA J ADDISON-SOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007331-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000490094001
BSNENY
NY
05
—
02292148
—
NY
01
—
114406
VALUE OPTIONS
NY
01
—
141338471
MARTINS POINT
NY
01
—
SE8R10010
EMPIRE BC
NY
Enumeration date
11/29/2006
Last updated
04/22/2011
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