Andrake, John S

Andrake, John S is an individual health care provider with primary practice located at 725 East Adams St 4Th Fl, Syracuse NY 13210-2576. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Andrake, John S can be contacted via phone (315) 464-5831.

Contact Information

Primary practice address
725 East Adams St 4Th Fl Syracuse NY 13210-2576
Phone: (315) 464-5831
Fax: (315) 464-2030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 173336 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 173336 New York

Profile Details

NPI number 1700806387
LBN Legal business name Andrake, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 25th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700806387 NPPES
New York MEDICAID 01181653
New York MEDICAID 56651C

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