Individual
CINDY JACKOLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
48 ROUTE 25A, SUITE 101, SMITHTOWN, NY 11787-1431
(631) 862-3540
Mailing address
48 ROUTE 25A, SUITE 101, SMITHTOWN, NY 11787-1431
(631) 862-3540
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
365315-1
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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