Individual
MRS. JILLIAN L EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
5008 BRITTONFIELD PKWY, EAST SYRACUSE, NY 13057-9248
(315) 472-7504
(315) 634-4677
Mailing address
5008 BRITTONFIELD PKWY, EAST SYRACUSE, NY 13057-9248
(315) 472-7504
(315) 634-4677
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
7334811-1
NY
363LF0000X
Family Nurse Practitioner
F334811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00334811
—
NY
01
—
RB5823
MEDICARE PTAN
NY
Enumeration date
08/18/2006
Last updated
11/26/2025
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