Jessica Canonico

NPI #1811616592 in Brewster, New York

Provider Information

NPI Number
1811616592
Entity Type
Individual
Name
Jessica Canonico
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Aug 25, 2022
Last Updated
Sep 9, 2024

Practice Location

Address
1689 ROUTE 22
ZIP Code
10509-4022
Phone
(845) 279-2378

Specialties & Taxonomy Codes

Specialty
Specialist

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