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

Jacalyn D Space

Individual provider Case Manager/Care Coordinator · NPI 1346017928

Jacalyn D Space is a Case Manager/Care Coordinator in Liberty, New York. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5 Triangle Rd
Liberty, NY 12754-3368
Phone: (845) 747-2580
Fax: (845) 292-0121
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1346017928
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 5, 2023
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023
Mailing addressPo Box 390, Westbrookville, NY 12785-0390

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