Individual
DR. JACQUELINE VILLACORTA PASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
427 GUY PARK AVE., ST MARYS HEALTHCARE- BEHAVIORAL HEALTH, AMSTERDAM, NY 12010
(518) 841-7360
(518) 841-7344
Mailing address
427 GUY PARK AVENUE, ST MARYS HEALTHCARE- BEHAVIORAL HEALTH, AMSTERDAM, NY 12010
(518) 841-7360
(518) 841-7344
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
230808
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02519482
—
NY
Enumeration date
11/22/2006
Last updated
10/23/2013
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