Individual
JACQUELINE DENISE D'ELETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1415 PORTLAND AVE STE 350, ROCHESTER, NY 14621-3043
(585) 442-5320
(585) 442-5526
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 442-5320
(585) 442-5526
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017338
NY
Other
Enumeration date
01/30/2014
Last updated
09/13/2022
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