National Provider Identifier

Elizabeth M. Jefferson, P.A.

Elizabeth M. Jefferson, 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) 602-4400.

NPI 1740352103Rochester, NYPhysician Assistant

Profile Overview

NPI
1740352103
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
November 14, 2006
Last Updated
June 05, 2025

Practice Location

  • 601 Elmwood Ave Box 665
  • Rochester, NY 14642-4122

Phone: (585) 602-4400

Mailing Address

  • 601 Elmwood Ave Box 665
  • Rochester, NY 14642-0001

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1740352103
Entity Type
Individual
Last Name
Jefferson
First Name
Elizabeth
Middle Name
M.
Credential
P.A.
Provider Other Last Name
Schmidt
Provider Other First Name
Elizabeth
Provider Other Middle Name
M.
Provider Other Credential Text
PA
Provider Other Last Name Type Code
1
Mailing Street Address
601 Elmwood Ave Box 665
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 602-4400
Practice Street Address
601 Elmwood Ave Box 665
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-4122
Practice Country
US
Practice Phone
(585) 602-4400
Enumeration Date
November 14, 2006
Last Updated
June 05, 2025
Sex
Female
Sole Proprietor
No
Certification Date
June 05, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
02958574 (NY)