Jaclyn Sisskind, MD | |
8138 Oswego Rd, Liverpool, NY 13090-1500 | |
(315) 652-8800 | |
(315) 652-8808 |
Full Name | Jaclyn Sisskind |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 8138 Oswego Rd, Liverpool, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629202783 | NPI | - | NPPES |
03495585 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 264529 (New York) | Primary |
Entity Name | Pediatric Service Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483 |
Mailing Address | Practice Location Address |
---|---|
Jaclyn Sisskind, MD 7565 Northfield Ln, Manlius, NY 13104-2312 Ph: (315) 692-4921 | Jaclyn Sisskind, MD 8138 Oswego Rd, Liverpool, NY 13090-1500 Ph: (315) 652-8800 |
Meghan Dambach, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 | |
Brenda R Van Fossen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7375 Oswego Rd, Liverpool, NY 13090 Phone: 315-291-0064 Fax: 315-291-0065 | |
Nicole Autumn Mirjafari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5100 W Taft Rd Ste 1b, Liverpool, NY 13088 Phone: 239-343-9888 Fax: 239-303-0714 | |
Mrs. Maritza Alvarado, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-457-9854 | |
Mrs. Angelle M Cresswell, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Garnoch Ct, Liverpool, NY 13090 Phone: 315-457-0872 | |
Dr. Mary V Green, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-457-9854 | |
Fozia Bakshi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-379-4900 |