Individual
DR. ANDREW WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 CURTIS RD, VERNON, NY 13476-3607
(315) 829-2220
(315) 829-3955
Mailing address
3 CURTIS RD, VERNON, NY 13476-3607
(315) 829-2220
(315) 829-3955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
287469-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04848624
—
NY
Enumeration date
05/19/2014
Last updated
09/16/2021
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