- Practice location
- 1689 Route 22, Brewster, NY 10509-4022
- Phone
- 845-279-2378
- Fax
- —
- Last updated
- September 9, 2024
Jessica Canonico is a Specialist based in Brewster, NY. Jessica Canonico practices in Brewster, NY. The NPI Number for Jessica Canonico is 1811616592. The current practice location address for Jessica Canonico is 1689 Route 22, Brewster, NY 10509-4022 and can be reached out via phone at 845-279-2378.
Provider Profile Details
- NPI Number
- 1811616592
- Provider Name
- Jessica Canonico
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1689 Route 22, Brewster, NY 10509-4022
- Phone Number
- 845-279-2378
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 25, 2022
- Last Update Date
- September 9, 2024
- Certification Date
- August 26, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1689 Route 22
Brewster, NY 10509-4022 - City
- Brewster
- State
- New York
- Zip
- 10509-4022
- Phone Number
- 845-279-2378
Provider Business Mailing Address Details
- Address
- 1689 Route 22
Brewster, NY 10509-4022 - City
- Brewster
- State
- NY
- Zip
- 10509-4022
License Information
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Brewster, NY
View all Specialists in Brewster →Frequently Asked Questions
What is the NPI number of Jessica Canonico?
The NPI number of Jessica Canonico is 1811616592. It was assigned on August 25, 2022 and is currently active in the NPPES registry.
What is the specialty of Jessica Canonico?
Jessica Canonico is registered under the primary taxonomy Specialist (code 174400000X).
Where does Jessica Canonico practice?
The practice location is 1689 Route 22, Brewster, NY 10509-4022. The office can be reached at 845-279-2378 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811616592 directly on the NPPES registry website.