Provider Demographics
NPI:1902837347
Name:ANDREWS, TROY S (PT)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:S
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7037 MANLIUS CENTER RD
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-2607
Mailing Address - Country:US
Mailing Address - Phone:315-627-0026
Mailing Address - Fax:315-627-0389
Practice Address - Street 1:7037 MANLIUS CENTER RD
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-2607
Practice Address - Country:US
Practice Address - Phone:315-627-0026
Practice Address - Fax:315-627-0389
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2020-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013440-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000003130OtherBSCNY
NY161303109OtherCIGNA
NYAA1220OtherMEDIARE
NY5056028OtherAETNA
NY000920145002OtherHEALTHNOW NY
NYAA1220OtherMEDIARE