Healthcare Provider Details

I. General information

NPI: 1952355794
Provider Name (Legal Business Name): ANDREW CALL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/21/2023
Certification Date: 08/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5586 LEGIONNAIRE DR STE 1
CICERO NY
13039-3504
US

IV. Provider business mailing address

5586 LEGIONNAIRE DR STE 1
CICERO NY
13039-3504
US

V. Phone/Fax

Practice location:
  • Phone: 315-699-2837
  • Fax:
Mailing address:
  • Phone: 315-699-2837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number201202-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: