Most Relevant Information
Provider Data
| NPI Number: | 1003581869 |
| Provider Name: | JACQUELYN CHARAMUT NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 348080 |
Most Important Dates
| Enumeration Date: | 08/13/2021 |
| Last Updated: | 07/17/2023 |
Provider Practice Location
140 CANAL VIEW BLVD
ROCHESTER
NY
146232815
Practice Location Phone/Fax
| Phone: | 5852795100 |
| Fax: |
Provider Mailing Location
601 ELMWOOD AVE BOX SURG
ROCHESTER
NY
146428410
Provider Mailing Phone/Fax
| Phone: | 5852795100 |
| Fax: |