Individual provider · Type 1 NPI
Andrew Scott Udkovich, NP
Pediatric Nurse Practitioner · Rochester, NY
NPI number
1215467675
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-3113
Mailing address
601 Elmwood Ave Box 632
Rochester, NY 14642-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 382750 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 382750 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1215467675
Andrew Scott Udkovich, NP's National Provider Identifier is 1215467675, issued on Jun 18, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rochester, NY. The record was last updated on Jul 17, 2023.