Individual
ANDREW J. MIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1860 SOUTH AVE, ROCHESTER, NY 14642-4229
(585) 273-1776
(585) 256-1901
Mailing address
300 CRITTENDEN BLVD, BOX PSYCH, ROCHESTER, NY 14642-8409
(585) 275-6917
(585) 276-2292
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
271379
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2010
Last updated
03/21/2023
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