Sisskind, Jaclyn
Sisskind, Jaclyn is an sole proprietor health care provider with primary practice located at 8138 Oswego Rd , Liverpool NY 13090-1500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sisskind, Jaclyn can be contacted via phone (315) 652-8800.Contact Information
Primary practice address
8138 Oswego Rd
Liverpool NY 13090-1500
Phone: (315) 652-8800
Fax: (315) 652-8808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 264529 | New York |
Profile Details
| NPI number | 1629202783 |
|---|---|
| LBN Legal business name | Sisskind, Jaclyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2009 |
| Last updated | Nov 5th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629202783 | NPPES |
| New York | MEDICAID | 03495585 |
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