National Provider Identifier
Jill Candace Pollack, TSHH/MSED, ATP
Jill Candace Pollack, TSHH/MSED, ATP is listed in the NPPES registry with a primary specialty of Specialist in Victor, NY and a listed phone number of (585) 924-3252.
Profile Overview
- NPI
- 1932484011
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- October 20, 2011
- Last Updated
- October 20, 2011
Practice Location
- 953 High St
- Victor, NY 14564-1168
Phone: (585) 924-3252
Mailing Address
- 4292 Route 21 S
- Canandaigua, NY 14424-8937
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1932484011
- Entity Type
- Individual
- Last Name
- Pollack
- First Name
- Jill
- Middle Name
- Candace
- Name Prefix
- Mrs.
- Credential
- TSHH/MSED, ATP
- Mailing Street Address
- 4292 Route 21 S
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-8937
- Mailing Country
- US
- Mailing Phone
- (585) 393-1034
- Practice Street Address
- 953 High St
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-1168
- Practice Country
- US
- Practice Phone
- (585) 924-3252
- Enumeration Date
- October 20, 2011
- Last Updated
- October 20, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)