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

Jaclyn Teresco, PA

Individual provider Medical Physician Assistant · NPI 1023447752

Jaclyn Teresco, PA is a Medical Physician Assistant in Glen Cove, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

104 Forest Ave
Glen Cove, NY 11542-2015
Phone: (516) 759-5406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 017062 (NY)

Record details

NPI number1023447752
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 4, 2013
Last updated in NPPESNovember 4, 2013
Mailing address104 Forest Ave, Glen Cove, NY 11542-2015

Other providers in Glen Cove