National Provider Identifier
Jacqueline Petronio
Jacqueline Petronio is listed in the NPPES registry with a primary specialty of Specialist in Fairport, NY and a listed phone number of (585) 626-8677.
Profile Overview
- NPI
- 1174887186
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 25, 2012
- Last Updated
- February 26, 2013
Practice Location
- 55 Fallingbrook RD
- Fairport, NY 14450
Phone: (585) 626-8677
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1174887186
- Entity Type
- Individual
- Last Name
- Petronio
- First Name
- Jacqueline
- Provider Other Last Name
- Arcarese
- Provider Other First Name
- Jacqueline
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 55 Fallingbrook RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450
- Mailing Country
- US
- Mailing Phone
- (585) 626-8677
- Practice Street Address
- 55 Fallingbrook RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450
- Practice Country
- US
- Practice Phone
- (585) 626-8677
- Enumeration Date
- June 25, 2012
- Last Updated
- February 26, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)