Jacqueline Bracht

NPI #1972351104 in Deer Park, New York

Provider Information

NPI Number: 1972351104
Entity Type: Individual
Name: Jacqueline Bracht
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: May 13, 2024
Last Updated: May 13, 2024

Practice Location

Address: 770 GRAND BLVD
City: Deer Park
State: New York
ZIP Code: 11729-5750
Phone: (631) 392-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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