Healthcare Provider Details

I. General information

NPI: 1306480801
Provider Name (Legal Business Name): ANDREW HUNE, DPM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2019
Last Update Date: 10/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 DELAWARE AVE
DELMAR NY
12054-1124
US

IV. Provider business mailing address

261 DELAWARE AVE
DELMAR NY
12054-1124
US

V. Phone/Fax

Practice location:
  • Phone: 518-439-0423
  • Fax:
Mailing address:
  • Phone: 518-439-0423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICIA WILLIAMS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 518-439-0423