National Provider Identifier

Tina Jubert, PA

Tina Jubert, 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) 368-6600.

NPI 1174916183Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1174916183
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
March 16, 2015
Last Updated
July 11, 2022

Practice Location

  • 89 Genesee St
  • Rochester, NY 14611-3201

Phone: (585) 368-6600

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1174916183
Entity Type
Individual
Last Name
Jubert
First Name
Tina
Credential
PA
Provider Other Last Name
Robeson
Provider Other First Name
Tina
Provider Other Name Prefix Text
Miss
Provider Other Last Name Type Code
1
Mailing Street Address
89 Genesee St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-3201
Mailing Country
US
Mailing Phone
(585) 368-6600
Mailing Fax
(585) 368-6622
Practice Street Address
89 Genesee St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-3201
Practice Country
US
Practice Phone
(585) 368-6600
Practice Fax
(585) 368-6622
Enumeration Date
March 16, 2015
Last Updated
July 11, 2022
Sex
Female
Sole Proprietor
No
Certification Date
July 11, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)