Individual
ANDREW SELWYN BAULIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
(585) 922-0496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
270082
NY
208M00000X
Hospitalist Physician
Primary
270082
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131126/RGH
—
NY
05
—
03007063/NWK
—
NY
05
—
03393515
—
NY
Enumeration date
09/22/2008
Last updated
08/19/2022
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