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Jacqueline Petronio
Specialist in Fairport, New York
NPI 1174887186

Jacqueline Petronio is a Specialist based in Fairport, NY. Jacqueline Petronio practices in Fairport, NY. The NPI Number for Jacqueline Petronio is 1174887186 and holds a License No. (New York).

The current practice location address for Jacqueline Petronio is 55 Fallingbrook Rd, Fairport, NY and can be reached out via phone at 585-626-8677.

Location: 55 Fallingbrook Rd, Fairport, NY, 14450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174887186
Provider Name
Jacqueline Petronio
Credential
Provider Entity Type
Individual
Gender
Female
Address
55 Fallingbrook Rd, Fairport, NY, 14450
Phone Number
585-626-8677
Fax Number
Provider Enumeration Date
06/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 Fallingbrook Rd
City
Fairport
State
New York
Zip
14450
Phone Number
585-626-8677
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fallingbrook Rd
City
Fairport
State
New York
Zip
14450
Phone Number
585-626-8677
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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