Individual
JANE C CICHELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1415 PORTLAND AVE STE 240, ROCHESTER, NY 14621-3022
(585) 922-3260
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA002840L
PA
363AS0400X
Surgical Physician Assistant
Primary
033855
NY
363AS0400X
Surgical Physician Assistant
25MP00260400
NJ
Other
Enumeration date
07/27/2007
Last updated
07/17/2025
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