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NPI Code Detail

MEDICARE: MR. ANDREW THOMAS DUNCAN PT, ATC

MEDICARE:  MR. ANDREW THOMAS DUNCAN  PT, ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251S0007XSports Physical Therapist012194-1NY
22255A2300XAthletic Trainer000745NY

General Provider Information

NPI Number : 1942237979
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW THOMAS DUNCAN PT, ATC
Provider Business Mailing Address
First Line : 21 CHASE VIEW RD
Second Line :
City : FAIRPORT
State : NY
Zip : 14450-9769
Country : US
Telephone Number : 585-223-3159
Fax Number : 585-340-9745
Provider Business Practice Location Address
First Line : 4901 LAC DE VILLE BLVD
Second Line : BLDG D, SUITE 110
City : ROCHESTER
State : NY
Zip : 14618-5647
Country : US
Telephone Number : 585-341-9135
Fax Number : 585-340-9745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 09/11/2025

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