Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Birnbaum

Individual provider Specialist · NPI 1558625368

Jaclyn Birnbaum is a Specialist in East Northport, New York. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

3 Graystone Dr
East Northport, NY 11731-4404
Phone: (631) 368-1002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1558625368
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 26, 2012
Last updated in NPPESMarch 31, 2016

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