Individual
ANDREW TAKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE BLDG 3, ROCHESTER, NY 14621-3095
(585) 922-4000
Mailing address
1425 PORTLAND AVE BLDG 3, ROCHESTER, NY 14621-3095
(585) 922-4000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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