Individual
ELIZABETH M. JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
601 ELMWOOD AVE BOX 665, ROCHESTER, NY 14642-4122
(585) 602-4400
Mailing address
601 ELMWOOD AVE BOX 665, ROCHESTER, NY 14642-0001
(585) 602-4400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011579
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02958574
—
NY
Enumeration date
11/14/2006
Last updated
06/05/2025
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