Jacqueline Marie Squillacioti
Jacqueline Marie Squillacioti is an Early Intervention Provider Agency in Bayport, New York. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
407 Bayport AveBayport, NY 11705-1405
Phone: (516) 356-8426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1639648199 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 14, 2018 |
| Last updated in NPPES | November 14, 2018 |
Other providers in Bayport
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Mrs. Marissa Leis, MS
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