Individual
ANDREW MCCORMICK COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8708 JUSTICE AVE STE C8, ELMHURST, NY 11373-4590
(718) 424-0339
(929) 367-2522
Mailing address
8708 JUSTICE AVE STE C8, ELMHURST, NY 11373-4590
(718) 424-0339
(929) 367-2522
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
023445
NY
Other
Enumeration date
04/04/2019
Last updated
11/30/2020
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