National Provider Identifier
Jaquanda N Peterkin
Jaquanda N Peterkin is listed in the NPPES registry with a primary specialty of Phlebology Physician in Rochester, NY and a listed phone number of (585) 362-1905.
Source: public NPPES record, last updated August 22, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1497633184
- Provider Type
- Individual
- Primary Specialty
- Phlebology Physician
- Enumeration Date
- August 22, 2025
- Last Updated
- August 22, 2025
Practice Location
- 165 Field St
- Rochester, NY 14620-1943
Phone: (585) 362-1905
Specialties
- Phlebology Physician (202K00000X)
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Full Record
- NPI
- 1497633184
- Entity Type
- Individual
- Last Name
- Peterkin
- First Name
- Jaquanda
- Middle Name
- N
- Mailing Street Address
- 165 Field St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-1943
- Mailing Country
- US
- Practice Street Address
- 165 Field St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1943
- Practice Country
- US
- Practice Phone
- (585) 362-1905
- Enumeration Date
- August 22, 2025
- Last Updated
- August 22, 2025
- Sex
- X
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- August 22, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Phlebology Physician (202K00000X)