Provider Demographics
NPI:1548558679
Name:LOONEY, ANDREA LYNN (DVM)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:LYNN
Last Name:LOONEY
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 TROY SCHENECTADY ROAD
Mailing Address - Street 2:UPSTATE VETERINARY SPECIALTIES
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110
Mailing Address - Country:US
Mailing Address - Phone:518-783-3198
Mailing Address - Fax:
Practice Address - Street 1:222 TROY SCHENECTADY ROAD
Practice Address - Street 2:UPSTATE VETERINARY SPECIALTIES
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110
Practice Address - Country:US
Practice Address - Phone:518-783-3198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006207174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian