IndividualActive
Jaquanda Peterkin
NPI 1497633184 · Phlebology Physician · Rochester, NY
Provider details
- NPI number
- 1497633184
- Entity type
- Individual
- Primary specialty
- Phlebology PhysicianAllopathic & Osteopathic Physicians
- Sole proprietor
- Yes
- License
- N5Q2B6C8 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
165 Field St
Rochester, NY 14620-1943
Phone: (585) 362-1905
Approximate (ZIP-level) locationGet directions
Mailing address
165 Field St
Rochester, NY 14620-1943
Registry dates
- Enumerated
- 2025-08-22
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.