IndividualActive
Jacqueline Petronio
NPI 1174887186 · Specialist · Fairport, NY
Jacqueline Petronio is a Specialist provider in Fairport, NY (NPI 1174887186).
Provider details
- NPI number
- 1174887186
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
55 Fallingbrook Rd
Fairport, NY 14450
Phone: (585) 626-8677
Street-level locationGet directions
Mailing address
55 Fallingbrook Rd
Fairport, NY 14450
Registry dates
- Enumerated
- 2012-06-25
- Last updated
- 2013-02-26
Frequently asked questions
- What is Jacqueline Petronio's NPI number?
- Jacqueline Petronio's National Provider Identifier (NPI) is 1174887186, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Petronio's specialty?
- Jacqueline Petronio is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jacqueline Petronio located?
- Jacqueline Petronio's practice location on file with NPPES is 55 Fallingbrook Rd, Fairport, NY 14450.
- What is Jacqueline Petronio's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Petronio is (585) 626-8677.
- Is Jacqueline Petronio's NPI active?
- Yes — Jacqueline Petronio's NPI (1174887186) is active in the NPPES registry as of the last update on 2013-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.