Individual
JAGGER KOERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 NEW SCOTLAND AVE, DEPARTMENT OF MEDICINE, ALBANY, NY 12208-3412
(518) 262-3095
Mailing address
105 WHITEFORD RD, ROCHESTER, NY 14620-4639
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2018-00833
NC
Other
Enumeration date
04/19/2014
Last updated
10/25/2019
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