Individual
MRS. JACLYN M IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6620 FLY RD, SUITE 200, EAST SYRACUSE, NY 13057-9791
(315) 464-4472
(315) 464-5222
Mailing address
6620 FLY RD, SUITE 200, EAST SYRACUSE, NY 13057-9791
(315) 464-4472
(315) 464-5222
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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