Individual
ELIANA LETICIA ONTIVEROS-OBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2782
(585) 473-2200
Mailing address
1000 SOUTH AVE, ROCHESTER, NY 14620-2782
(585) 473-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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