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Individual

ANDREW K POLLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2047 W RIDGE RD, ROCHESTER, NY 14626-2718
(585) 276-9100
Mailing address
601 ELMWOOD AVE BOX 655, ROCHESTER, NY 14642-8655
(585) 273-4398

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017621
NY
363AM0700X
Medical Physician Assistant
17621
NY

Other

Enumeration date
07/28/2014
Last updated
06/29/2023
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