Provider Demographics
NPI:1477567527
Name:KLEINER, JESSICA MALONE (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MALONE
Last Name:KLEINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:211 WHITE SPRUCE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-1618
Mailing Address - Country:US
Mailing Address - Phone:585-475-8700
Mailing Address - Fax:585-475-9411
Practice Address - Street 1:211 WHITE SPRUCE BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1618
Practice Address - Country:US
Practice Address - Phone:585-475-8700
Practice Address - Fax:585-475-9411
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234608207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3083832Medicaid