Individual
ANDREA JACOVACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-4396
Mailing address
1957 BRONXDALE AVE APT C23, BRONX, NY 10462-3336
(347) 387-2583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO55166-1
NY
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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