National Provider Identifier
Jalissa Rodriguez
Jalissa Rodriguez is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 865-1550.
Profile Overview
- NPI
- 1255934873
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- November 17, 2020
- Last Updated
- November 17, 2020
Practice Location
- 1099 Jay St Bldg P
- Rochester, NY 14611-1164
Phone: (585) 865-1550
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1255934873
- Entity Type
- Individual
- Last Name
- Rodriguez
- First Name
- Jalissa
- Mailing Street Address
- 1099 Jay St Bldg P
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-1164
- Mailing Country
- US
- Mailing Phone
- (585) 865-1550
- Practice Street Address
- 1099 Jay St Bldg P
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-1164
- Practice Country
- US
- Practice Phone
- (585) 865-1550
- Enumeration Date
- November 17, 2020
- Last Updated
- November 17, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 17, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)