National Provider Identifier

Andrea Gefell, PA

Andrea Gefell, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Newark, NY and a listed phone number of (315) 359-2640.

NPI 1538224662Newark, NYMedical Physician Assistant

Profile Overview

NPI
1538224662
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
December 27, 2006
Last Updated
February 07, 2019

Practice Location

  • 1208 Driving Park Ave
  • Newark, NY 14513-1057

Phone: (315) 359-2640

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1538224662
Entity Type
Individual
Last Name
Gefell
First Name
Andrea
Credential
PA
Provider Other Last Name
Gonzalez
Provider Other First Name
Andrea
Provider Other Middle Name
Pilar
Provider Other Credential Text
PA
Provider Other Last Name Type Code
1
Mailing Street Address
1208 Driving Park Ave
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1057
Mailing Country
US
Mailing Phone
(315) 359-2640
Practice Street Address
1208 Driving Park Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1057
Practice Country
US
Practice Phone
(315) 359-2640
Enumeration Date
December 27, 2006
Last Updated
February 07, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)
Other Identifiers
03076322 (NY)