John S Andrake, MD
Pediatrics in Syracuse, NY. Individual provider (NPI-1).
NPI number1700806387
StatusActive
Last updated in NPPESMay 25, 2023
Details
- NPI
- 1700806387
- Entity type
- Individual (NPI-1)
- Name
- John S Andrake
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2006
- Certification date
- May 25, 2023
- Last updated
- May 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 173336 | NY | Yes |
| 208M00000X | Hospitalist | 173336 | NY |
Practice location
725 East Adams St4th Fl
Syracuse, NY 13210-2576
Phone 315-464-5831 · Fax 315-464-2030
Mailing address
725 East Adams St4th Fl
Syracuse, NY 13210-2576
Phone 315-464-5831 · Fax 315-464-2030
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