ANDREW JOHN ITUTUD DERKS

ROCHESTER, NY
NPI1295218089
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  022485-1)
Enumeration Date2018-09-08
Last Update Date2022-09-14
Business Address
ANDREW JOHN ITUTUD DERKS Physician Assistant
1425 PORTLAND AVE
ROCHESTER, NY 14621-3095
Phone number: 585-922-4000
Mailing Address
ANDREW JOHN ITUTUD DERKS Physician Assistant
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-1900