National Provider Identifier
Nicholas John Anderjack, PA-C
Nicholas John Anderjack, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 426-4990.
Profile Overview
- NPI
- 1861152589
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- December 21, 2021
- Last Updated
- December 21, 2021
Practice Location
- 1160 Chili Ave
- Rochester, NY 14624-3035
Phone: (585) 426-4990
Mailing Address
- 1107 Greenlawn Dr
- Pittsburgh, PA 15220-3103
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1861152589
- Entity Type
- Individual
- Last Name
- Anderjack
- First Name
- Nicholas
- Middle Name
- John
- Credential
- PA-C
- Mailing Street Address
- 1107 Greenlawn Dr
- Mailing City
- Pittsburgh
- Mailing State
- PA
- Mailing ZIP Code
- 15220-3103
- Mailing Country
- US
- Mailing Phone
- (412) 443-7405
- Practice Street Address
- 1160 Chili Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-3035
- Practice Country
- US
- Practice Phone
- (585) 426-4990
- Enumeration Date
- December 21, 2021
- Last Updated
- December 21, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 13, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)