Individual
JACKLYN OLEKSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 OLD ORCHARD WAY, MILLER PLACE, NY 11764-3255
(516) 510-2558
Mailing address
22 OLD ORCHARD WAY, MILLER PLACE, NY 11764-3255
(516) 510-2558
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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