Individual provider · Type 1 NPI

Katie Rose Jaquin

Specialist · East Syracuse, NY

NPI number 1750645958 Active

Practice location

6575 Kirkville Rd
East Syracuse, NY 13057-9809

Call (315) 701-5710 Map

Mailing address

301 Rugby Rd
Syracuse, NY 13203-1442

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1750645958

Katie Rose Jaquin's National Provider Identifier is 1750645958, issued on Jul 2, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in East Syracuse, NY. The record was last updated on Jul 2, 2012.