Individual
ANDREA WAIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3399 WINTON RD S, ROCHESTER, NY 14623-3057
(585) 334-6000
(585) 334-2828
Mailing address
3399 WINTON RD S, ROCHESTER, NY 14623-3057
(585) 334-6000
(585) 334-2828
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013787-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355344
—
NY
01
—
11546334
CAQH
NY
Enumeration date
07/05/2006
Last updated
07/08/2007
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