Individual provider · Type 1 NPI
Jera Delibashi, PA
Medical Physician Assistant · Rochester, NY
NPI number
1184183592
Active
Practice location
65 Genesee St. , Bk Building 3rd Flr
Rochester, NY 14611
Fax (585) 368-3037
Mailing address
100 Kings Highway South, Provider Enrollment
Rochester, NY 14617-5504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 023188 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1184183592
Jera Delibashi, PA's National Provider Identifier is 1184183592, issued on Mar 15, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Apr 22, 2021.