Jacqueline A M Di Stefano, PA-C
Emergency Medicine in Rochester, NY. Individual provider (NPI-1).
NPI number1801439211
StatusActive
Last updated in NPPESApr 28, 2026
Details
- NPI
- 1801439211
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline A M Di Stefano
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2019
- Certification date
- Apr 28, 2026
- Last updated
- Apr 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 034036 | NY | Yes |
Practice location
601 Elmwood AveRochester, NY 14642-0001
Phone 585-275-4551
Mailing address
601 Elmwood AveRochester, NY 14642-0001
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