Individual
JENNIFER KANACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626
(585) 723-7769
Mailing address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7769
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
295383
NY
Other
Enumeration date
07/07/2015
Last updated
08/22/2018
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