Individual
MRS. JESSICA ELIZABETH GIANCASPRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
247 3RD AVE RM 202, NEW YORK, NY 10010-7453
(212) 641-0633
Mailing address
601 W 57TH ST APT 34J, NEW YORK, NY 10019-1095
(631) 357-0724
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
027880
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
824131623
RDH
NY
Enumeration date
04/06/2022
Last updated
04/06/2022
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