Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 289719 | NY |
NPI | 1255743886 |
---|---|
Provider Name | Sylwia Jasinski |
First Address | Mineola, NY 11501-4067 |
Second Address | Mineola, NY 11501-4067 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2014 |
Last Update Date | 01/12/2021 |