Individual
JESSICA ROBIN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 473-2200
(585) 341-8326
Mailing address
871 TRIMMER RD, SPENCERPORT, NY 14559-9544
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008777
NY
363AS0400X
Surgical Physician Assistant
8777
NY
Other
Enumeration date
07/24/2006
Last updated
07/05/2023
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