Individual
JESSICA FRAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2 RUBIN DR, RUSHVILLE, NY 14544-9681
(585) 554-4400
Mailing address
1 S WASHINGTON ST STE 300, ROCHESTER, NY 14614-1134
(585) 325-2280
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F3326901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02073605
—
NY
01
—
109567DL
PREFERRED CARE
NY
01
—
P109381105
BLUE CROSS
NY
Enumeration date
12/16/2006
Last updated
12/04/2023
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