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Individual

JILLIAN M IVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
301 GENESEE ST STE A, ONEIDA, NY 13421-2644
(315) 606-2601
(315) 361-2972
Mailing address
301 GENESEE ST STE A, ONEIDA, NY 13421-2644
(315) 606-2601
(315) 361-2972

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
09/08/2009
Last updated
03/05/2026
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