JACOB WILLIAM RAIFSTANGER

ROCHESTER, NY
NPI1679989479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  017837)
Enumeration Date2014-07-01
Last Update Date2023-01-11
Business Address
JACOB WILLIAM RAIFSTANGER Physician Assistant
2655 RIDGEWAY AVE STE 460
ROCHESTER, NY 14626-4296
Phone number: 585-581-6790
Mailing Address
JACOB WILLIAM RAIFSTANGER Physician Assistant
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-1900
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