National Provider Identifier

Mary Ellen Jesmer

Mary Ellen Jesmer is listed in the NPPES registry with a primary specialty of Specialist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1972364024Victor, NYSpecialist

Profile Overview

NPI
1972364024
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
January 17, 2024
Last Updated
January 17, 2024

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 590 Fishers Station Dr
  • Victor, NY 14564-9744

Specialties

  • Specialist (174400000X)
Full Record
NPI
1972364024
Entity Type
Individual
Last Name
Jesmer
First Name
Mary Ellen
Mailing Street Address
590 Fishers Station Dr
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-9744
Mailing Country
US
Mailing Phone
(585) 924-7207
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
January 17, 2024
Last Updated
January 17, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
January 15, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)