Individual
MRS. DANA JACKIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
973 EAST AVE, SUITE 100, ROCHESTER, NY 14607-2216
(585) 244-1000
Mailing address
973 EAST AVE, SUITE 100, ROCHESTER, NY 14607-2216
(585) 244-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333834
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112368CW
PREFERRED CARE
NY
Enumeration date
10/10/2006
Last updated
07/08/2007
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