Andres, Jerome C

Andres, Jerome C is an individual health care provider with primary practice located at 7300 Porter Rd , Niagara Falls NY 14304-5705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Andres, Jerome C can be contacted via phone (716) 298-5862.

Contact Information

Primary practice address
7300 Porter Rd Niagara Falls NY 14304-5705
Phone: (716) 298-5862
Fax: (716) 285-3622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 150366 New York

Profile Details

NPI number 1063410108
LBN Legal business name Andres, Jerome C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

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 1063410108 NPPES
New York MEDICAID 00826137

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