Andrew James Kretovic, P.A-C
Physician Assistant in Rochester, NY. Individual provider (NPI-1).
NPI number1891183000
StatusActive
Last updated in NPPESNov 22, 2023
Details
- NPI
- 1891183000
- Entity type
- Individual (NPI-1)
- Name
- Mr. Andrew James Kretovic
- Credential
- P.A-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2014
- Certification date
- Nov 22, 2023
- Last updated
- Nov 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 018380 | NY | Yes |
Practice location
158 Sawgrass Dr Fl 2Rochester, NY 14620-4648
Phone 585-275-2838
Mailing address
601 Elmwood Ave Box 656Rochester, NY 14642-0001
Phone 585-275-5283
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