Individual
MR. JACOB SCOTT PRIVITERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642-0001
(585) 275-3022
Mailing address
601 ELMWOOD AVENUE BOX SURG, ROCHESTER, NY 14642-9616
(585) 275-5100
(585) 276-1992
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
20185
NY
363AM0700X
Medical Physician Assistant
020185
NY
363AS0400X
Surgical Physician Assistant
Primary
020185
NY
Other
Enumeration date
10/20/2016
Last updated
06/29/2023
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