National Provider Identifier

Andrea Sundlof-Stoller, M.S.ED, M.S.C.A.S

Andrea Sundlof-Stoller, M.S.ED, M.S.C.A.S is listed in the NPPES registry with a primary specialty of Specialist in Irondequoit, NY and a listed phone number of (585) 261-6939.

NPI 1700327038Irondequoit, NYSpecialist

Profile Overview

NPI
1700327038
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
March 20, 2017
Last Updated
March 20, 2017

Practice Location

  • 2111 Hudson Ave
  • Irondequoit, NY 14617-4346

Phone: (585) 261-6939

Mailing Address

  • 304 Greeley St
  • Rochester, NY 14609-4852

Specialties

  • Specialist (174400000X)
Full Record
NPI
1700327038
Entity Type
Individual
Last Name
Sundlof-Stoller
First Name
Andrea
Name Prefix
Mrs.
Credential
M.S.ED, M.S.C.A.S
Provider Other Last Name
Sundlof
Provider Other First Name
Andrea
Provider Other Name Prefix Text
Miss
Provider Other Last Name Type Code
1
Mailing Street Address
304 Greeley St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-4852
Mailing Country
US
Mailing Phone
(585) 261-6939
Practice Street Address
2111 Hudson Ave
Practice City
Irondequoit
Practice State
NY
Practice ZIP Code
14617-4346
Practice Country
US
Practice Phone
(585) 261-6939
Enumeration Date
March 20, 2017
Last Updated
March 20, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)