| Doctor Name: | MRS. JENNIFER JEANNE PROIA-CESSNA |
| NPI Number: | 1235161100 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OPTICIAN |
| License Number: | 007235-1 |
| Business Practice Address: | 300 West Ave Brockport, NY - 144201118 |
| Business Phone Number: | 5856373905 |
| Business Fax Number: | 5856374990 |
| Mailing Address: | 300 West Ave, BROCKPORT |
| State: | NY |
| Postal Code: | 144201118 |
| Phone Number: | 5856373905 |
| Fax Number: | 5856374990 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 09/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 007235-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |