Eastman, Jillian L

Eastman, Jillian L is an individual health care provider with primary practice located at 945 E. Genesee Street Suite 200, Syracuse NY 13210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Eastman, Jillian L can be contacted via phone (315) 475-0689.

Contact Information

Primary practice address
945 E. Genesee Street Suite 200 Syracuse NY 13210
Fax: (315) 234-3276
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F334811 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 7334811-1 New York

Profile Details

NPI number 1336253285
LBN Legal business name Eastman, Jillian L
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jan 15th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336253285 NPPES
New York MEDICAID 00334811
New York Other RB5823

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