National Provider Identifier
Jonathon Brook Riesdorph, PHARMD
Jonathon Brook Riesdorph, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 210-4701.
Profile Overview
- NPI
- 1447687983
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- September 30, 2013
- Last Updated
- March 21, 2014
Practice Location
- 665 Long Pond RD
- Rochester, NY 14612-3007
Phone: (585) 210-4701
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1447687983
- Entity Type
- Individual
- Last Name
- Riesdorph
- First Name
- Jonathon
- Middle Name
- Brook
- Credential
- PHARMD
- Mailing Street Address
- 665 Long Pond RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-3007
- Mailing Country
- US
- Mailing Phone
- (585) 210-4701
- Mailing Fax
- (585) 210-4707
- Practice Street Address
- 665 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-3007
- Practice Country
- US
- Practice Phone
- (585) 210-4701
- Practice Fax
- (585) 210-4707
- Enumeration Date
- September 30, 2013
- Last Updated
- March 21, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)