National Provider Identifier
Jessica Rose Wisniewski, PA
Jessica Rose Wisniewski, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7281.
Profile Overview
- NPI
- 1538646542
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- July 23, 2018
- Last Updated
- August 13, 2019
Practice Location
- 1555 Long Pond Road
- Dept Of Surgery
- Rochester, NY 14626-4122
Phone: (585) 723-7281
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1538646542
- Entity Type
- Individual
- Last Name
- Wisniewski
- First Name
- Jessica
- Middle Name
- Rose
- Credential
- PA
- Mailing Street Address
- 1555 Long Pond Road
- Mailing Address Line 2
- Dept Of Surgery
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4122
- Mailing Country
- US
- Mailing Phone
- (585) 723-7281
- Mailing Fax
- (585) 723-8660
- Practice Street Address
- 1555 Long Pond Road
- Practice Address Line 2
- Dept Of Surgery
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7281
- Practice Fax
- (585) 723-8660
- Enumeration Date
- July 23, 2018
- Last Updated
- August 13, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)
- Other Identifiers
- 05629025 (NY)