National Provider Identifier
Andrea Burge Iannoli, PA
Andrea Burge Iannoli, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7000.
Profile Overview
- NPI
- 1578665733
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 01, 2006
- Last Updated
- February 05, 2016
Practice Location
- 1555 Long Pond RD
- Emergency Department
- Rochester, NY 14626-4122
Phone: (585) 723-7000
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1578665733
- Entity Type
- Individual
- Last Name
- Iannoli
- First Name
- Andrea
- Middle Name
- Burge
- Credential
- PA
- Provider Other Last Name
- Burge
- Provider Other First Name
- Andrea
- Provider Other Middle Name
- Elizabeth
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1555 Long Pond RD
- Mailing Address Line 2
- Emergency Department
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4122
- Mailing Country
- US
- Mailing Phone
- (585) 723-7000
- Mailing Fax
- (585) 723-7045
- Practice Street Address
- 1555 Long Pond RD
- Practice Address Line 2
- Emergency Department
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7000
- Practice Fax
- (585) 723-7045
- Enumeration Date
- September 01, 2006
- Last Updated
- February 05, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 02805338 (NY)