Provider Demographics
NPI:1902362528
Name:DANQUER, ANDREW THOMAS
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:THOMAS
Last Name:DANQUER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 TABER RD
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-3104
Mailing Address - Country:US
Mailing Address - Phone:315-520-0288
Mailing Address - Fax:
Practice Address - Street 1:40 TABER RD
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-3104
Practice Address - Country:US
Practice Address - Phone:315-520-0288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-19
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262593-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse