Provider Demographics
NPI:1972806909
Name:WILHELM, ANDREW JEFFREY (DPT, DO)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:JEFFREY
Last Name:WILHELM
Suffix:
Gender:M
Credentials:DPT, DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7329 SENECA RD N
Mailing Address - Street 2:
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-9684
Mailing Address - Country:US
Mailing Address - Phone:607-385-3740
Mailing Address - Fax:
Practice Address - Street 1:7329 SENECA RD N
Practice Address - Street 2:
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-9684
Practice Address - Country:US
Practice Address - Phone:607-385-3740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-14
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT016519207X00000X
MD235132251S0007X, 2251X0800X
NY308823367500000X
NY308823-01207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered