Individual
JAYASHRI BHASKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1425 PORTLAND AVE, WILSON BUILDING, ROCHESTER, NY 14621
(585) 922-4409
(585) 922-4833
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
276489
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131126/RGH
—
NY
05
—
03950112
—
NY
05
—
30209084
—
NH
05
—
434947499
—
ME
Enumeration date
09/26/2007
Last updated
05/19/2021
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