Individual provider · Type 1 NPI
Andrew K. Polla, PA-C
Medical Physician Assistant · Rochester, NY
NPI number
1124436779
Active
Practice location
2047 W Ridge Rd
Rochester, NY 14626-2718
Mailing address
601 Elmwood Ave Box 655
Rochester, NY 14642-8655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 17621 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | 017621 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1124436779
Andrew K. Polla, PA-C's National Provider Identifier is 1124436779, issued on Jul 28, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Jun 29, 2023.