Healthcare Provider Details

I. General information

NPI: 1861135006
Provider Name (Legal Business Name): SAWYER ANDREW KONYS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 ROUTE 52
FISHKILL NY
12524-1516
US

IV. Provider business mailing address

841 ROUTE 52
FISHKILL NY
12524-1516
US

V. Phone/Fax

Practice location:
  • Phone: 845-896-8424
  • Fax:
Mailing address:
  • Phone: 845-896-8424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number065710
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: