Individual
JACLYN GRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 CLINTON AVE S, ROCHESTER, NY 14620-1448
(585) 279-4800
(585) 442-8319
Mailing address
777 CLINTON AVE S, ROCHESTER, NY 14620-1448
(585) 279-4800
(585) 442-8319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
326269
NY
Other
Enumeration date
03/26/2022
Last updated
06/24/2025
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