Individual
MRS. PATRICIA A JACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1593 ROUTE 9G, HYDE PARK, NY 12538-2165
(845) 229-4040
(845) 229-5655
Mailing address
1593 ROUTE 9G, HYDE PARK, NY 12538-2165
(845) 229-4040
(845) 229-5655
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
397296-1
NY
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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