Provider Demographics
NPI:1942237979
Name:DUNCAN, ANDREW THOMAS (PT, ATC)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:THOMAS
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:PT, ATC
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Mailing Address - Street 1:21 CHASE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-9769
Mailing Address - Country:US
Mailing Address - Phone:585-223-3159
Mailing Address - Fax:585-340-9745
Practice Address - Street 1:4901 LAC DE VILLE BLVD
Practice Address - Street 2:BLDG D, SUITE 110
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5647
Practice Address - Country:US
Practice Address - Phone:585-341-9135
Practice Address - Fax:585-340-9745
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY012194-12251S0007X
NY0007452255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer