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1629808563
JESSICA MARIE MAGIONCALDA
FARMINGVILLE, NY
NPI
1629808563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 405989)
Enumeration Date
2024-08-06
Last Update Date
2024-08-21
Business Address
JESSICA MARIE MAGIONCALDA PMHNP-BC
100 GRANNY RD STE 1
FARMINGVILLE, NY 11738-2879
Phone number: 631-696-4957
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Mailing Address
JESSICA MARIE MAGIONCALDA PMHNP-BC
6 CIRCLE CT
FARMINGVILLE, NY 11738-2309
Phone number: 631-459-0344
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