Healthcare Provider Details

I. General information

NPI: 1427497346
Provider Name (Legal Business Name): JESSICA STRASSNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2013
Last Update Date: 03/21/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 LONG POND RD
ROCHESTER NY
14626-4122
US

IV. Provider business mailing address

227 FITZPATRICK TRL
WEST HENRIETTA NY
14586-9440
US

V. Phone/Fax

Practice location:
  • Phone: 585-368-4030
  • Fax: 585-723-7470
Mailing address:
  • Phone: 585-808-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number382381
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: