Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW DAVID CORNELISON, PA-C
ActiveANDREW DAVID CORNELISON, PA-C is a Physician Assistant healthcare provider located in FORT DRUM, New York. NPI 1376366310 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT DRUM, NY
Registration Details
- NPI Number
- 1376366310
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2024 (1.7720290761647 yrs)
- Last Updated
- Dec 23, 2025
Practice Information
- Address
-
11050 MT. BELVEDERE BLVDFORT DRUM, NY, 136025004Browse NY providers · Browse ZIP 13602
- Phone
- 5158297710
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FORT DRUM, NY
| Name | Credential | NPI |
|---|---|---|
| MR. RANDALL ALAN BISCHOFF | RPA-C | 1760471932 |
| HEIDI L BOERMAN | PA-C, ATC | 1427048412 |
| DAVID LEWIS KEYES | RPA-C | 1013993625 |
| WILLIAM J. FLYNN III | PA | 1104802941 |
| DERIK HARALD SWEE | PA-C | 1598741498 |
| JEFFREY M SZYMANSKI | PA, MPAS, APA | 1861478653 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.