Speranza, Jenny R

Speranza, Jenny R is an individual health care provider with primary practice located at 601 Elmwood Ave Box Surg, Rochester NY 14642-8410. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Speranza, Jenny R can be contacted via phone (585) 273-2727.

Contact Information

Primary practice address
601 Elmwood Ave Box Surg Rochester NY 14642-8410
Fax: (585) 276-2203
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 242075 New York
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 242075 New York

Profile Details

NPI number 1083678338
LBN Legal business name Speranza, Jenny R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083678338 NPPES
New York MEDICAID 02824688

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