Justine Mary Ross, PA
Physician Assistant in Rochester, NY. Individual provider (NPI-1).
NPI number1679120331
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1679120331
- Entity type
- Individual (NPI-1)
- Name
- Justine Mary Ross
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2019
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | NY | Yes |
| 207XP3100X | Orthopaedic Surgery, Pediatric Orthopaedic Surgery | 24079 | NY |
Practice location
4901 Lac De Ville Blvd Bldg DRochester, NY 14618-5647
Phone 585-275-1395
Mailing address
65 W Broad St Apt 803Rochester, NY 14614-2218
Phone 413-883-8097
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