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

Individual provider Psychiatry Physician · NPI 1699260489

Jaclyn Blaauboer, MD is a Psychiatry Physician in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-3165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 313801 (NY)

Record details

NPI number1699260489
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 25, 2018
Last updated in NPPESApril 27, 2022
Certification dateJuly 27, 2021
Mailing address750 E Adams St, Syracuse, NY 13210-2306

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