Jillian Hartmann
Physician Assistant, Surgical in Newark, NY. Individual provider (NPI-1).
NPI number1508318445
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1508318445
- Entity type
- Individual (NPI-1)
- Name
- Jillian Hartmann
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2016
- Certification date
- Apr 17, 2025
- Last updated
- Apr 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 020316 | NY | Yes |
Practice location
1304 Driving Park AveNewark, NY 14513-1059
Phone 315-359-2670
Mailing address
100 Kings Hwy SRochester, NY 14617-5504
Other practice locations
1425 Portland Ave
Rochester, NY 14621-3011
Rochester, NY 14621-3011
Phone 585-922-4000
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