Individual
ANDREA M ROELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
513 W UNION ST, NEWARK, NY 14513-1365
(315) 573-7577
Mailing address
PO BOX 423, PENN YAN, NY 14527-0423
(315) 531-9102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
408641
NY
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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