Individual provider · NPI-1

Diana Lynn Andolina, PNP

Nurse Practitioner, Pediatrics · Rochester, NY

NPI number1174090716
StatusActive
Last updated in NPPESSep 28, 2023

Details

NPI
1174090716
Entity type
Individual (NPI-1)
Name
Diana Lynn Andolina
Credential
PNP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 1, 2018
Certification date
Sep 28, 2023
Last updated
Sep 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics382962NYYes

Practice location

900 Elmgrove Rd
Rochester, NY 14624-6236

Phone 585-426-4100

Mailing address

900 Elmgrove Rd
Rochester, NY 14624-6236

Phone 585-978-2194

Other practice locations

601 Elmwood Ave
Rochester, NY 14642-9590

Phone 585-275-4000

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