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Contact Information

JENNA A HIESTAND, MD
301 PROSPECT AVE
SYRACUSE, NY13203-1807
 Phone: 315-956-9711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JENNA A HIESTAND · (Female)

NPI # 1376655704
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 11/22/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AK License # 103380
  • CO License # 40971
  • NC License # 2006-01125
  • NY License # 307264
  • OR License # MD27977
Hospital affiliation(s)
  • ST JOSEPH'S HOSPITAL HEALTH CENTER - (Acute Care)
    301 PROSPECT AVENUE
    SYRACUSE, NY 13203
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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