National Provider Identifier
Andrew Tantalo
Andrew Tantalo is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 537-3792.
Source: public NPPES record, last updated October 04, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1265023790
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 28, 2021
- Last Updated
- October 04, 2023
Practice Location
- 1238 E Ridge RD
- Rochester, NY 14621-2012
Phone: (585) 537-3792
Specialties
- Physician Assistant (363A00000X)
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Full Record
- NPI
- 1265023790
- Entity Type
- Individual
- Last Name
- Tantalo
- First Name
- Andrew
- Mailing Street Address
- 1238 E Ridge RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-2012
- Mailing Country
- US
- Mailing Phone
- (585) 537-3792
- Practice Street Address
- 1238 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2012
- Practice Country
- US
- Practice Phone
- (585) 537-3792
- Enumeration Date
- January 28, 2021
- Last Updated
- October 04, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 04, 2023
- Taxonomies
- Physician Assistant (363A00000X)