Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Philip Andrus, PA-S

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073129862

Philip Andrus, PA-S is a Student in an Organized Health Care Education/Training Program in Brooklyn, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

1414 Newkirk Ave
Brooklyn, NY 11226-6599
Phone: (718) 759-6100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073129862
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorYes
NPI enumeratedSeptember 17, 2020
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 18, 2021

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