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Jaclyn Burzotta, MS
Student in an Organized Health Care Education/Training Program in Kings Park, New York
NPI 1033520010

Jaclyn Burzotta is a Student in an Organized Health Care Education/Training Program based in Kings Park, NY. Jaclyn Burzotta practices in Kings Park, NY and has the professional credentials of MS. The NPI Number for Jaclyn Burzotta is 1033520010 and holds a License No. (New York).

The current practice location address for Jaclyn Burzotta is 16 Ginger Bread Rd, Kings Park, NY and can be reached out via phone at 631-269-8938.

Location: 16 Ginger Bread Rd, Kings Park, NY, 11754-5060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033520010
Provider Name
Jaclyn Burzotta
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
16 Ginger Bread Rd, Kings Park, NY, 11754-5060
Phone Number
631-269-8938
Fax Number
Provider Enumeration Date
05/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16 Ginger Bread Rd
City
Kings Park
State
New York
Zip
11754-5060
Phone Number
631-269-8938
Fax Number
person
Provider Business Mailing Address Details
Address
16 Ginger Bread Rd
City
Kings Park
State
New York
Zip
11754-5060
Phone Number
631-269-8938
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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