Provider Demographics
NPI:1902481310
Name:ANDREW HUNE, DPM PLLC
Entity Type:Organization
Organization Name:ANDREW HUNE, DPM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-439-0423
Mailing Address - Street 1:261 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-1124
Mailing Address - Country:US
Mailing Address - Phone:518-439-0423
Mailing Address - Fax:518-478-9044
Practice Address - Street 1:4 PALISADES DR STE 250A
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1448
Practice Address - Country:US
Practice Address - Phone:518-458-1771
Practice Address - Fax:518-478-9044
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANDREW HUNE DPM PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04094097Medicaid