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ANDREA MARIE DVORAK M.D. NPI 1811154347


NPI Information

NPI: 1811154347
Provider Name: ANDREA MARIE DVORAK, M.D.
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

Organization: PEDIATRIC SERVICE GROUP

PECOS Registration: Yes

Address:
750 E ADAMS ST
SYRACUSE, NY
ZIP 13210
Phone: (315) 464-5294
Get Directions

Andrea Marie Dvorak, M.D. is a pediatric hematology-oncology pediatrics in Syracuse, NY with 18 years of experience. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Andrea Marie Dvorak, M.D. NPI is 1811154347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210-342
Phone: (315) 464-5294
Fax: (315) 464-7238

The NPI 1811154347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 8/13/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMT-188524PENNSYLVANIANo
22080P0207XPediatricsPediatric Hematology-Oncology266140NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1J400079041MEDICARE PINNEW YORK
203485852MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.