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Contact Information

ANDREA WISSICK
177 OKARA DR W
SCHENECTADY, NY12303
 Phone: 518-416-6301
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ANDREA WISSICK · (Female)

NPI # 1427487552
Status Active
Credentials
Entity Individual
Enumeration date 11/08/2013
Last updated 11/08/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 821920
  • NY Medicaid DZ61649C
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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