Individual
STEPHANIE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 781-0998
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-1509
(585) 276-2356
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
431733
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841813193
—
NY
Enumeration date
05/21/2020
Last updated
07/03/2023
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