- Practice location
- 14 Thiells Mount Ivy RD Ste 2, Pomona, NY 10970-3038
- Phone
- 845-694-8808
- Fax
- —
- Last updated
- August 14, 2024
Jack Joseph Iannucci is a Physical Therapist based in Pomona, NY. Jack Joseph Iannucci practices in Pomona, NY and has the professional credentials of DPT. The NPI Number for Jack Joseph Iannucci is 1881426419 and holds a License No. 052798 (NY). The current practice location address for Jack Joseph Iannucci is 14 Thiells Mount Ivy RD Ste 2, Pomona, NY 10970-3038 and can be reached out via phone at 845-694-8808.
Provider Profile Details
- NPI Number
- 1881426419
- Provider Name
- Jack Joseph Iannucci
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 14 Thiells Mount Ivy RD Ste 2, Pomona, NY 10970-3038
- Phone Number
- 845-694-8808
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 14, 2024
- Last Update Date
- August 14, 2024
- Certification Date
- August 14, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Thiells Mount Ivy RD Ste 2
Pomona, NY 10970-3038 - City
- Pomona
- State
- New York
- Zip
- 10970-3038
- Phone Number
- 845-694-8808
Provider Business Mailing Address Details
- Address
- 16 Maybrook RD Ste L
Campbell Hall, NY 10916-2741 - City
- Campbell Hall
- State
- NY
- Zip
- 10916-2741
License Information
- License Number
- 052798
- License State
- NY
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Pomona, NY
View all Physical Therapists in Pomona →Frequently Asked Questions
What is the NPI number of Jack J Iannucci, DPT?
The NPI number of Jack J Iannucci, DPT is 1881426419. It was assigned on August 14, 2024 and is currently active in the NPPES registry.
What is the specialty of Jack J Iannucci, DPT?
Jack J Iannucci, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 052798.
Where does Jack J Iannucci, DPT practice?
The practice location is 14 Thiells Mount Ivy RD Ste 2, Pomona, NY 10970-3038. The office can be reached at 845-694-8808 (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 1881426419 directly on the NPPES registry website.