Individual provider · Type 1 NPI

Jacob Scott Privitera, PA-C

Surgical Physician Assistant · Rochester, NY

NPI number 1023569431 Active

Practice location

601 Elmwood Ave Box Surg
Rochester, NY 14642-0001

Call (585) 275-3022 Map

Mailing address

601 Elmwood Avenue Box Surg
Rochester, NY 14642-9616

Specialties and licenses

TaxonomyCodeLicense
Trauma Surgery Physician 2086S0127X20185 (NY)
Medical Physician Assistant 363AM0700X020185 (NY)
Surgical Physician Assistant Primary 363AS0400X020185 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1023569431

Jacob Scott Privitera, PA-C's National Provider Identifier is 1023569431, issued on Oct 20, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rochester, NY. The record was last updated on Jun 29, 2023.