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MR. ANDREW D MANGIACAPRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGNP

Contact information

Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 473-2200
Mailing address
601 ELMWOOD AVE BOX 655, ROCHESTER, NY 14642-1459
(585) 273-4398

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
435532
NY
363L00000X
Nurse Practitioner
Primary
309500
NY
363LA2200X
Adult Health Nurse Practitioner
309500
NY

Other

Enumeration date
10/07/2019
Last updated
07/03/2023
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