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

Jessica Canonico

Individual provider Specialist · NPI 1811616592

Jessica Canonico is a Specialist in Brewster, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

1689 Route 22
Brewster, NY 10509-4022
Phone: (845) 279-2378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1811616592
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 25, 2022
Last updated in NPPESSeptember 9, 2024
Certification dateAugust 26, 2024

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