Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 292341 | NY |
N | 208D00000X | General Practice Physician | 2014-01962 | NC |
NPI | 1609215672 |
---|---|
Provider Name | Dr. Andrew Steven Knecht |
First Address | Mineola, NY 11501-4807 |
Second Address | Mineola, NY 11501-4807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2013 |
Last Update Date | 04/08/2021 |