Andrew Gregory Pallus
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Vandergrift, PA
NPI 1639010309 · NPPES record last updated Apr 4, 2026
Key facts
- NPI
- 1639010309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- PI128078 (PA)
- Practice address
- 224 Longfellow St Ste 100
Vandergrift, PA 15690-1476 - Phone
- (724) 567-6615
- NPI assigned
- Apr 4, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PI128078 | PA | MD | Student in an Organized Health Care Education/Training Program |
| PII003630 | PA | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PII003630 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | PI128078 | PA | Yes |
Addresses
Primary practice location
224 Longfellow St Ste 100
Vandergrift, PA 15690-1476
Mailing address
317 Lincoln Ave
Leechburg, PA 15656-1117
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All providers in Vandergrift, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.