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Individual

DR. JINNAH ALEXANDRA PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
170 SAWGRASS DR, ROCHESTER, NY 14620-4648
(585) 442-1830
(585) 758-7092
Mailing address
170 SAWGRASS DR, ROCHESTER, NY 14620-4648
(585) 442-1830
(585) 758-7092

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
045904
CT
2085R0202X
Diagnostic Radiology Physician
Primary
336879
NY
2085R0202X
Diagnostic Radiology Physician
52881
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750584553
CT
05
2149613
MA
Enumeration date
06/08/2007
Last updated
07/10/2025
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