JORDAN ELIZABETH EVANICKI

ROCHESTER, NY
NPI1679974372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Additional Taxonomies363A00000X Physician Assistant
(Licence: NY  18081)
Enumeration Date2014-09-12
Last Update Date2025-08-04
Business Address
JORDAN ELIZABETH EVANICKI PA-C
601 ELMWOOD AVE
ROCHESTER, NY 14642-5647
Phone number: 585-275-9555
Mailing Address
JORDAN ELIZABETH EVANICKI PA-C
601 ELMWOOD AVE BOX 655
ROCHESTER, NY 14642-8655
Phone number: