National Provider Identifier

Jillian Hartmann

Jillian Hartmann is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Newark, NY and a listed phone number of (315) 359-2670.

NPI 1508318445Newark, NYSurgical Physician Assistant

Profile Overview

NPI
1508318445
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
October 26, 2016
Last Updated
April 17, 2025

Practice Location

  • 1304 Driving Park Ave
  • Newark, NY 14513-1059

Phone: (315) 359-2670

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Surgical Physician Assistant (363AS0400X)
Full Record
NPI
1508318445
Entity Type
Individual
Last Name
Hartmann
First Name
Jillian
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1304 Driving Park Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1059
Practice Country
US
Practice Phone
(315) 359-2670
Enumeration Date
October 26, 2016
Last Updated
April 17, 2025
Sex
Female
Sole Proprietor
No
Certification Date
April 17, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Physician Assistant (363AS0400X)