MEDICARE: DR. JEANNE LOUISE DELSIGNORE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	156054-1	NY

General Provider Information

NPI Number	:	1912981333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEANNE LOUISE DELSIGNORE M.D.

Provider Business Mailing Address
First Line	:	360 LINDEN OAKS
Second Line	:	SUITE 210
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2814
Country	:	US
Telephone Number	:	585-641-0141
Fax Number	:	585-641-0140

Provider Business Practice Location Address
First Line	:	360 LINDEN OAKS
Second Line	:	SUITE 210
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2814
Country	:	US
Telephone Number	:	585-641-0141
Fax Number	:	585-641-0140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	04/07/2015

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