Individual
JACLYN NICOLE IACOBELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD CCC-A
Contact information
Practice address
160-08 CROSSBAY BLVD, HOWARD BEACH, NY 11414
(718) 323-1128
Mailing address
625 E FORDHAM RD, BRONX, NY 10458-5049
(917) 473-6920
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
02/16/2023
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