Individual
ANDREW ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
995 SENATOR KEATING BLVD STE 330, ROCHESTER, NY 14618-2779
(585) 232-2980
(585) 232-6552
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 232-2980
(585) 232-6552
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
026863
NY
Other
Enumeration date
03/22/2021
Last updated
09/24/2021
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