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

Jacqueline Koch

Individual provider Specialist · NPI 1760833677

Jacqueline Koch is a Specialist in Syracuse, New York. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

171 Intrepid Ln
Syracuse, NY 13205-2548 Not confirmed with CMS for 10 years — call before visiting
Phone: (315) 437-4689
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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 number1760833677
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 22, 2016
Last updated in NPPESJune 22, 2016

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