Jessica Nicole Cacace, M.S.ED

NPI #1992471551 in Shirley, New York

Provider Information

NPI Number: 1992471551
Entity Type: Individual
Name: Jessica Nicole Cacace, M.S.ED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.S.ED
Enumeration Date: Aug 23, 2021
Last Updated: Aug 23, 2021

Practice Location

Address: 21 CARMEN VIEW DR
City: Shirley
State: New York
ZIP Code: 11967-4813
Phone: (917) 428-7587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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