Individual provider · Type 1 NPI

Jaclyn M. Ireland, P.A.

Surgical Physician Assistant · East Syracuse, NY

NPI number 1942634522 Active

Practice location

6620 Fly Rd, Suite 200
East Syracuse, NY 13057-9791

Call (315) 464-4472 Map

Fax (315) 464-5222

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1942634522

Jaclyn M. Ireland, P.A.'s National Provider Identifier is 1942634522, issued on Aug 30, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in East Syracuse, NY. The record was last updated on Aug 30, 2013.