National Provider Identifier
Andrea Marie Khlevnoy, MD
Andrea Marie Khlevnoy, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Ithaca, NY and a listed phone number of (607) 274-4296.
Profile Overview
- NPI
- 1689234718
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- June 20, 2019
- Last Updated
- October 06, 2023
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 274-4296
Specialties
- Internal Medicine Physician (207R00000X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1689234718
- Entity Type
- Individual
- Last Name
- Khlevnoy
- First Name
- Andrea
- Middle Name
- Marie
- Credential
- MD
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1342
- Mailing Country
- US
- Mailing Phone
- (607) 274-4296
- Mailing Fax
- (607) 274-4198
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 274-4296
- Practice Fax
- (607) 274-4198
- Enumeration Date
- June 20, 2019
- Last Updated
- October 06, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 06, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Internal Medicine Physician (207R00000X)