National Provider Identifier

Jessica Smith

Jessica Smith is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 467-4567.

NPI 1629423678Rochester, NYSpecialist

Profile Overview

NPI
1629423678
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
April 27, 2016
Last Updated
April 27, 2016

Practice Location

  • 2111 Hudson Ave
  • Rochester, NY 14617-4346

Phone: (585) 467-4567

Specialties

  • Specialist (174400000X)
Full Record
NPI
1629423678
Entity Type
Individual
Last Name
Smith
First Name
Jessica
Mailing Street Address
2111 Hudson Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-4346
Mailing Country
US
Mailing Phone
(585) 467-4567
Practice Street Address
2111 Hudson Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14617-4346
Practice Country
US
Practice Phone
(585) 467-4567
Enumeration Date
April 27, 2016
Last Updated
April 27, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)