National Provider Identifier

Andrew K Polla, PA-C

Andrew K Polla, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 276-9100.

NPI 1124436779Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1124436779
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
July 28, 2014
Last Updated
June 29, 2023

Practice Location

  • 2047 W Ridge RD
  • Rochester, NY 14626-2718

Phone: (585) 276-9100

Mailing Address

  • 601 Elmwood Ave Box 655
  • Rochester, NY 14642-8655

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Medical Physician Assistant (363AM0700X)

Endpoints

  • apolla110199@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1124436779
Entity Type
Individual
Last Name
Polla
First Name
Andrew
Middle Name
K
Credential
PA-C
Mailing Street Address
601 Elmwood Ave Box 655
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-8655
Mailing Country
US
Mailing Phone
(585) 273-4398
Practice Street Address
2047 W Ridge RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-2718
Practice Country
US
Practice Phone
(585) 276-9100
Enumeration Date
July 28, 2014
Last Updated
June 29, 2023
Sex
Male
Sole Proprietor
No
Certification Date
February 07, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)