National Provider Identifier
Jessica Le Severson, MD
Jessica Le Severson, MD is listed in the NPPES registry with a primary specialty of Dermatology Physician in Batavia, NY and a listed phone number of (585) 344-4811.
Profile Overview
- NPI
- 1922171610
- Provider Type
- Individual
- Primary Specialty
- Dermatology Physician
- Enumeration Date
- November 17, 2006
- Last Updated
- March 17, 2011
Practice Location
- 229 Summit St
- Suite 7
- Batavia, NY 14020-1645
Phone: (585) 344-4811
Mailing Address
- 601 Elmwood Ave
- Box 697
- Rochester, NY 14642-0001
Specialties
- Dermatology Physician (207N00000X)
- Dermatology Physician (207N00000X)
Full Record
- NPI
- 1922171610
- Entity Type
- Individual
- Last Name
- Severson
- First Name
- Jessica
- Middle Name
- Le
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 697
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-7546
- Practice Street Address
- 229 Summit St
- Practice Address Line 2
- Suite 7
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-1645
- Practice Country
- US
- Practice Phone
- (585) 344-4811
- Practice Fax
- (585) 344-4812
- Enumeration Date
- November 17, 2006
- Last Updated
- March 17, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dermatology Physician (207N00000X), Dermatology Physician (207N00000X)
- Other Identifiers
- 000919915002 (NY, Community Blue), 00025998201 (NY, Univera), 7851362 (NY, Aetna Insurance), G0183268190 (NY, Blue Choice Group Number), P010224394 (NY, Blue Choice), 2200273 (NY, Ghi), 109598 (NY, Preferred Care), 000919915002 (NY, Blue Cross Of Wny), 0311421 (NY, Independent Health), P010224394 (NY, Rochester Blue Cross)