Provider Demographics
NPI:1982815700
Name:ZARCONE, JENNIFER ROBYN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ROBYN
Last Name:ZARCONE
Suffix:
Gender:F
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE # 671
Mailing Address - Street 2:UNIVERSITY OF ROCHESTER MEDICAL CENTER
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-273-5974
Mailing Address - Fax:585-275-3366
Practice Address - Street 1:601 ELMWOOD AVE # 671
Practice Address - Street 2:UNIVERSITY OF ROCHESTER MEDICAL CENTER
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-273-5974
Practice Address - Fax:585-275-3366
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY016696103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY103TM1800XOtherMENTAL RETARDATION AND DE