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Contact Information

JUSTINE M ROSS, PA
4901 LAC DE VILLE BLVD BLDG D
ROCHESTER, NY14618-5647
 Phone: 585-275-1395
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Pediatric Orthopaedic Surgery

207XP3100X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JUSTINE M ROSS · (Female)

NPI Number 1679120331
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/19/2019
Last updated 06/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 24079
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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