JACLYN KOLLEGGER - NPI 1124561485 - Specialist in East Setauket, NY

Q: What is Jaclyn Kollegger's NPI number?

The NPI number for Jaclyn Kollegger is 1124561485. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Q: What is Jaclyn Kollegger's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Kollegger was last updated on November 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jaclyn Kollegger NPPES

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

JACLYN KOLLEGGER (NPI 1124561485) is an individual specialist in East Setauket, New York and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1124561485

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameJACLYN KOLLEGGER

Location Address14 RESEARCH WAYEast Setauket, NY 11733-3453

Mailing Address48 Holly DriveSayville, NY 11782

Phone(631) 331-6400

Sole ProprietorNo

Enumeration DateNovember 18, 2016

✔ NPI 1124561485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

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.

14 RESEARCH WAY, East Setauket, NY 11733

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA GRONELL

Specialist