Provider Demographics
NPI:1871710020
Name:ANDREWS, ROBERT ALAN (RPA-C)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ALAN
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:RPA-C
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Other - Credentials:
Mailing Address - Street 1:PO BOX 502
Mailing Address - Street 2:1818 NYS ROUTE 73
Mailing Address - City:KEENE VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12943-0502
Mailing Address - Country:US
Mailing Address - Phone:518-576-9011
Mailing Address - Fax:
Practice Address - Street 1:75 PARK ST
Practice Address - Street 2:ELIZABETHTOWN COMMUNITY HOSPITAL
Practice Address - City:ELIZABETHTOWN
Practice Address - State:NY
Practice Address - Zip Code:12932
Practice Address - Country:US
Practice Address - Phone:518-873-6377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY004465-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical