Individual
ANNA JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
999 E RIDGE RD STE 800, ROCHESTER, NY 14621
(585) 341-3600
(585) 266-3169
Mailing address
999 E RIDGE RD STE 800, ROCHESTER, NY 14621-1936
(585) 341-3600
(585) 266-3169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
292225
NY
Other
Enumeration date
04/09/2014
Last updated
04/28/2023
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