Individual
JACLYN SISSKIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3448 ROUTE 31, BALDWINSVILLE, NY 13027
(315) 622-6395
(315) 622-3298
Mailing address
3448 ROUTE 31, BALDWINSVILLE, NY 13027
(315) 622-6395
(315) 622-3298
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
264529
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03495585
—
NY
Enumeration date
05/05/2009
Last updated
09/27/2024
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