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Shiniece Jackson
NPI 1063668051 · on the registry since 2008 · sole proprietor
Practice
- Address
- 5813 S Salina St
Syracuse, NY 13205 - Phone
- (315) 380-4864
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York