National Provider Identifier

Jacqueline Denise D'Eletto, PA

Jacqueline Denise D'Eletto, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 442-5320.

NPI 1053734889Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1053734889
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
January 30, 2014
Last Updated
September 13, 2022

Practice Location

  • 1415 Portland Ave Ste 350
  • Rochester, NY 14621-3043

Phone: (585) 442-5320

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Medical Physician Assistant (363AM0700X)

Endpoints

  • jacqueline.d'eletto@rochesterregional.org

    Direct Messaging Address | Rochester, NY 14621

Full Record
NPI
1053734889
Entity Type
Individual
Last Name
D'Eletto
First Name
Jacqueline
Middle Name
Denise
Credential
PA
Provider Other Last Name
Spallina
Provider Other First Name
Jacqueline
Provider Other Middle Name
Denise
Provider Other Credential Text
PA
Provider Other Last Name Type Code
1
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 442-5320
Mailing Fax
(585) 442-5526
Practice Street Address
1415 Portland Ave Ste 350
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3043
Practice Country
US
Practice Phone
(585) 442-5320
Practice Fax
(585) 442-5526
Enumeration Date
January 30, 2014
Last Updated
September 13, 2022
Sex
Female
Sole Proprietor
No
Certification Date
September 13, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)