Individual
JACLYN RIVINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 396-1980
Mailing address
710 JEFFERSON AVE APT 313, CLEVELAND, OH 44113-4682
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
321416
NY
Other
Enumeration date
07/05/2017
Last updated
08/16/2023
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