Individual
JACKSON G. TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-3519
(315) 464-4497
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-3519
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
227900000X
Registered Respiratory Therapist
Primary
005883
NY
Other
Enumeration date
03/27/2026
Last updated
03/31/2026
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