Individual
ANDREW TANTALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1238 E RIDGE RD, ROCHESTER, NY 14621-2012
(585) 537-3792
Mailing address
1238 E RIDGE RD, ROCHESTER, NY 14621-2012
(585) 537-3792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
10/04/2023
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