Individual
JACQUELINE MONACO-BAVARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 N BROADWAY, WHITE PLAINS, NY 10601-2214
(914) 328-8444
(914) 428-7696
Mailing address
15 N BROADWAY, WHITE PLAINS, NY 10601-2214
(914) 328-8444
(914) 428-7696
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
201602
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016868821
—
NY
Enumeration date
11/02/2005
Last updated
08/19/2010
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