Individual
JACOB SJIRK SASLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 530-2290
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 530-2290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
008076-1
NY
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403586
NY
Other
Enumeration date
05/01/2015
Last updated
09/08/2021
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