Daloia, Jaclyn

Daloia, Jaclyn is an individual health care provider with primary practice located at 146 Gettle Rd , Averill Park NY 12018-9794. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Daloia, Jaclyn can be contacted via phone (518) 674-7068.

Contact Information

Primary practice address
146 Gettle Rd Averill Park NY 12018-9794
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 498391041 New York

Profile Details

NPI number 1265702617
LBN Legal business name Daloia, Jaclyn
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2012
Last updated Jan 3rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265702617 NPPES
New York MEDICAID 01379024

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