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

Mrs. Katie Rose Jaquin

Individual provider Specialist · NPI 1750645958

Mrs. Katie Rose Jaquin is a Specialist in East Syracuse, New York. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

6575 Kirkville Rd
East Syracuse, NY 13057-9809
Phone: (315) 701-5710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1750645958
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2012
Last updated in NPPESJuly 2, 2012

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