Provider Demographics
NPI:1568996288
Name:JAJOSKY, AUDREY NADINE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:AUDREY
Middle Name:NADINE
Last Name:JAJOSKY
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Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:601 ELMWOOD AVENUE
Mailing Address - Street 2:BOX 626
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-373-4135
Mailing Address - Fax:858-273-3637
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-3697
Practice Address - Fax:216-201-5354
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2023-07-07
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Provider Licenses
StateLicense IDTaxonomies
NY311218363AM0700X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical