National Provider Identifier
Jennifer Kanack, MD
Jennifer Kanack, MD is listed in the NPPES registry with a primary specialty of Hospitalist Physician in Rochester, NY and a listed phone number of (585) 723-7769.
Profile Overview
- NPI
- 1043693237
- Provider Type
- Individual
- Primary Specialty
- Hospitalist Physician
- Enumeration Date
- July 07, 2015
- Last Updated
- August 22, 2018
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626
Phone: (585) 723-7769
Mailing Address
- 1555 Long Pond RD
- Rochester, NY 14626-4122
Specialties
- Hospitalist Physician (208M00000X)
Full Record
- NPI
- 1043693237
- Entity Type
- Individual
- Last Name
- Kanack
- First Name
- Jennifer
- Credential
- MD
- Provider Other Last Name
- Croake
- Provider Other First Name
- Jennifer
- Provider Other Middle Name
- Marie
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 1555 Long Pond RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4122
- Mailing Country
- US
- Mailing Phone
- (585) 723-7769
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626
- Practice Country
- US
- Practice Phone
- (585) 723-7769
- Enumeration Date
- July 07, 2015
- Last Updated
- August 22, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hospitalist Physician (208M00000X)