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JACLYN BIRNBAUM
NPI 1558625368
Specialist in East Northport, NY

Active since June 26, 2012
3 GRAYSTONE DR, EAST NORTHPORT, NY 11731(631) 368-1002 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jaclyn Birnbaum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN BIRNBAUM (NPI 1558625368) is an individual specialist in East Northport, New York and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1558625368
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJACLYN BIRNBAUM
Location Address3 GRAYSTONE DREast Northport, NY 11731-4404
Mailing Address3 Graystone DrEast Northport, NY 11731-4404 · (631) 368-1002
Phone(631) 368-1002
Sole ProprietorYes
Enumeration DateJune 26, 2012
Last NPPES UpdateMarch 31, 2016
✔ NPI 1558625368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 GRAYSTONE DR, East Northport, NY 11731
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Birnbaum's NPI number?

The NPI number for Jaclyn Birnbaum is 1558625368. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Jaclyn Birnbaum located?

Jaclyn Birnbaum practices at 3 Graystone Dr, East Northport, NY 11731. The listed phone number is (631) 368-1002.

What is Jaclyn Birnbaum's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jaclyn Birnbaum was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.