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NPI Code Detail

MEDICARE: CAROLINE ERIKA ANDREWS

MEDICARE:   CAROLINE ERIKA ANDREWS
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
1225700000XMassage Therapist019308-1NY

General Provider Information

NPI Number : 1558843557
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE ERIKA ANDREWS
Provider Business Mailing Address
First Line : 360 WALNUT ST
Second Line :
City : OSWEGO
State : NY
Zip : 13126-3738
Country : US
Telephone Number : 315-727-9300
Fax Number :
Provider Business Practice Location Address
First Line : 45 1/2 W BRIDGE ST
Second Line :
City : OSWEGO
State : NY
Zip : 13126-2024
Country : US
Telephone Number : 315-727-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2018
Last Update Date : 09/05/2018

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Directions to “ CAROLINE ERIKA ANDREWS ” Practice Location

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