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Individual

JESSICA R NORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3019 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424-9505
(585) 396-4363
Mailing address
100 BUCKLAND AVE, ROCHESTER, NY 14618-2110
(585) 305-0174

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
233378
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014003729
EXCELLUS
NY
05
06000233378
NY
01
103283EU
PREFERRED CARE
NY
01
3109089
VALUE OPTIONS
NY
01
EM
EXCELLUS
NY
Enumeration date
09/03/2006
Last updated
07/09/2007
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