National Provider Identifier
Jerold Allen Desimone I, P.A.
Jerold Allen Desimone I, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 292-6440.
Profile Overview
- NPI
- 1568488633
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 14, 2006
- Last Updated
- July 03, 2023
Practice Location
- 945 E Henrietta RD
- Rochester, NY 14623-1419
Phone: (585) 292-6440
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
Endpoints
- jdesimone76166@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1568488633
- Entity Type
- Individual
- Last Name
- Desimone
- First Name
- Jerold
- Middle Name
- Allen
- Name Prefix
- Mr.
- Name Suffix
- I
- Credential
- P.A.
- Mailing Street Address
- 945 E Henrietta RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-1419
- Mailing Country
- US
- Mailing Phone
- (585) 292-6440
- Mailing Fax
- (585) 292-6491
- Practice Street Address
- 945 E Henrietta RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-1419
- Practice Country
- US
- Practice Phone
- (585) 292-6440
- Practice Fax
- (585) 292-6491
- Enumeration Date
- July 14, 2006
- Last Updated
- July 03, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)
- Other Identifiers
- P019004244 (NY, Excellus), PA0100 (NY, Preferred Care)