person
Jessica Lynne Martin, PA
Medical Physician Assistant in Rochester, New York
NPI 1982623203

Jessica Lynne Martin is a Medical Physician Assistant based in Rochester, NY and is specialized in Medical. Jessica Lynne Martin practices in Rochester, NY and has the professional credentials of PA. The NPI Number for Jessica Lynne Martin is 1982623203 and holds a License No. 010137 (New York).

The current practice location address for Jessica Lynne Martin is 2350 Ridgeway Ave, Rochester, NY and can be reached out via phone at 585-922-2440 and via fax at 585-663-3293.

Location: 2350 Ridgeway Ave, Rochester, NY, 14626-4127
person
Provider Profile Details
NPI Number
1982623203
Provider Name
Jessica Lynne Martin
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2350 Ridgeway Ave, Rochester, NY, 14626-4127
Phone Number
585-922-2440
Fax Number
585-663-3293
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA0512 01 NY PREFERRED CARE
PO19010137 01 NY BLUE CHOICE
PA0512 01 NY PREFERRED CARE OPT
PO19010137 01 NY BLUE CROSS OF ROCHESTER
010137 05 NY
PO19010137 01 NY BLUE CHOICE OPT
institution
Provider Business Practice Location Address Details
Address
2350 Ridgeway Ave
City
State
Zip
14626-4127
Phone Number
585-922-2440
Fax Number
585-663-3293
person
Provider Business Mailing Address Details
Address
2350 Ridgeway Ave
City
State
Zip
14626-4127
Phone Number
585-922-2440
Fax Number
585-663-3293
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
010137 (New York)
Definition
Definition to come...
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