Individual
ANDREA FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 OFFICE PARK WAY, PITTSFORD, NY 14534-1765
(585) 586-9640
(585) 586-5512
Mailing address
71 LIME ROCK LN, ROCHESTER, NY 14610-3122
(585) 381-5393
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
182742
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01482686
—
NY
Enumeration date
12/04/2006
Last updated
09/09/2014
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