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Contact Information

JACLYN S PRESLEY, PA
4857 STATE ROUTE 5
VERNON, NY13476
 Phone: 315-363-9995
 Fax: 315-363-9686
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACLYN S PRESLEY · (Female)

NPI # 1811176183
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/02/2007
Last updated 02/15/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 012218
  • NY Medicaid 02948763
Hospital affiliation(s) Not Available
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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