National Provider Identifier

Andrea Fedoruk, LCSW

Andrea Fedoruk, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 368-6900.

NPI 1740488956Rochester, NYClinical Social Worker

Profile Overview

NPI
1740488956
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
July 10, 2007
Last Updated
July 10, 2007

Practice Location

  • 81 Lake Ave
  • Rochester, NY 14608-1410

Phone: (585) 368-6900

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1740488956
Entity Type
Individual
Last Name
Fedoruk
First Name
Andrea
Credential
LCSW
Mailing Street Address
81 Lake Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-1410
Mailing Country
US
Mailing Phone
(585) 368-6900
Practice Street Address
81 Lake Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-1410
Practice Country
US
Practice Phone
(585) 368-6900
Enumeration Date
July 10, 2007
Last Updated
July 10, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)