Individual
ANDREA LOGUIDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4811 BUCKLEY RD, LIVERPOOL, NY 13088-3676
(315) 457-9966
(315) 457-9854
Mailing address
4811 BUCKLEY RD, LIVERPOOL, NY 13088-3676
(315) 457-9966
(315) 457-9854
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F351987
NY
Other
Enumeration date
07/05/2023
Last updated
07/22/2024
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