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Individual

ANDREA J ADDISON-SOREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 561-2000
(518) 561-0881
Mailing address
PO BOX 2868, PLATTSBURGH, NY 12901-0259
(518) 562-7900
(518) 562-7933

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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