Individual provider · Type 1 NPI

Jacqueline Denise D'eletto, PA

Medical Physician Assistant · Rochester, NY

NPI number 1053734889 Active

Practice location

1415 Portland Ave Ste 350
Rochester, NY 14621-3043

Fax (585) 442-5526

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice locations

  • 30 Hagen Dr Ste 100, Rochester, NY 14625-2658 · (585) 442-5320

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X017338 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1053734889

Jacqueline Denise D'eletto, PA's National Provider Identifier is 1053734889, issued on Jan 30, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Sep 13, 2022.