Individual
DR. JAKE DEINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-1110
(585) 275-8138
(585) 276-1128
Mailing address
601 ELMWOOD AVE, BOX 667, ROCHESTER, NY 14642-0001
(585) 275-8138
(585) 276-1128
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
289478
NY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
289478
NY
Other
Enumeration date
06/23/2010
Last updated
06/29/2023
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