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MS. JACLYN AVENILOV
NPI 1063764470
Specialist in Brooklyn, NY

Active since October 09, 2012
2843 BRAGG ST, BROOKLYN, NY 11235(718) 362-0908 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Jaclyn Avenilov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACLYN AVENILOV (NPI 1063764470) is an individual specialist in Brooklyn, New York, licensed in New York (608851121) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1063764470
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. JACLYN AVENILOV
Location Address2843 BRAGG STBrooklyn, NY 11235-1101
Mailing Address2843 Bragg StBrooklyn, NY 11235-1101 · (718) 362-0908
Phone(718) 362-0908
Sole ProprietorNo
Enumeration DateOctober 9, 2012
✔ NPI 1063764470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 608851121
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2843 BRAGG ST, Brooklyn, NY 11235
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Avenilov's NPI number?

The NPI number for Jaclyn Avenilov is 1063764470. It was assigned to this individual provider in the NPPES registry on October 9, 2012.

Where is Jaclyn Avenilov located?

Jaclyn Avenilov practices at 2843 Bragg St, Brooklyn, NY 11235. The listed phone number is (718) 362-0908.

What is Jaclyn Avenilov's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jaclyn Avenilov was last updated on October 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.