Most Relevant Information
Provider Data
| NPI Number: | 1003547613 |
| Provider Name: | GRETA JASINSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2022 |
| Last Updated: | 02/16/2024 |
Provider Practice Location
4900 BROAD RD STE 1352
SYRACUSE
NY
132152265
Practice Location Phone/Fax
| Phone: | 3154644470 |
| Fax: |
Provider Mailing Location
4900 BROAD RD STE 1352
SYRACUSE
NY
132152265
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |