Andrew Scott Udkovich, NP | |
601 Elmwood Ave, Rochester, NY 14642-3113 | |
(585) 275-2821 | |
Not Available |
Full Name | Andrew Scott Udkovich |
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Gender | Male |
Speciality | Nurse Practitioner - Pediatrics |
Location | 601 Elmwood Ave, Rochester, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215467675 | NPI | - | NPPES |
04843674 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 382750 (New York) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 382750 (New York) | Primary |
Entity Name | Rochester General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Entity Name | University Of Rochester |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019 |
Entity Name | The Unity Hospital Of Rochester |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038 |
Entity Name | Pediatric Group Univ Of Rochester |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821029463 PECOS PAC ID: 5496747362 Enrollment ID: O20040331001273 |
Entity Name | Western New York Medical Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
Mailing Address | Practice Location Address |
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Andrew Scott Udkovich, NP 601 Elmwood Ave Box 632, Rochester, NY 14642-0001 Ph: (585) 275-2821 | Andrew Scott Udkovich, NP 601 Elmwood Ave, Rochester, NY 14642-3113 Ph: (585) 275-2821 |