Individual
JEAN THECHELET MANDAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1300 JEFFERSON RD STE 500, ROCHESTER, NY 14623-3197
(585) 413-1800
Mailing address
601 ELMWOOD AVE BOX 655, ROCHESTER, NY 14642-8655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
293746
NY
Other
Enumeration date
06/01/2015
Last updated
03/21/2025
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