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Individual

JAQUALYN IARDELLA

Active
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Individual

JAQUALYN IARDELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
163W00000X
Registered Nurse
817212
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406679
NY

Other

Enumeration date
06/04/2015
Last updated
05/08/2025
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