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

Jessica Ciardullo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083191308

Jessica Ciardullo is a Student in an Organized Health Care Education/Training Program in Coram, New York. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

3600 NY-112
Coram, NY 11727
Phone: (631) 920-8500
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083191308
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2018
Last updated in NPPESJuly 20, 2018

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