Individual
JACLYN DECARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 MAMARONECK AVE STE 150, WHITE PLAINS, NY 10605-5222
(914) 328-2868
(914) 328-2973
Mailing address
180 STONY BROOK RD, FISHKILL, NY 12524-2986
(914) 920-0870
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008557-01
NY
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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