NPI | 1528278967 |
---|---|
Professional Name | JACK PELACCIO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 126799) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 126799) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2025-04-11 |