Individual provider · Type 1 NPI

Jacqueline Petronio

Specialist · Fairport, NY

NPI number 1174887186 Active

Practice location

55 Fallingbrook Rd
Fairport, NY 14450

Call (585) 626-8677 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other specialist providers in Fairport

See all in Fairport →

About NPI 1174887186

Jacqueline Petronio's National Provider Identifier is 1174887186, issued on Jun 25, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairport, NY. The record was last updated on Feb 26, 2013.