Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 309254 | NY |
NPI | 1013572742 |
---|---|
Provider Name | Andrea Madelyn Juhasz |
First Address | Pittsford, NY 14534-1090 |
Second Address | Pittsford, NY 14534-1090 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2019 |
Last Update Date | 14/02/2020 |