Most Relevant Information
Provider Data
| NPI Number: | 1003399429 |
| Provider Name: | JESSICA CARPIO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/11/2018 |
| Last Updated: | 09/11/2018 |
Provider Practice Location
11 W PROSPECT AVE
MOUNT VERNON
NY
105502017
Practice Location Phone/Fax
| Phone: | 9146688938 |
| Fax: |
Provider Mailing Location
845 N BROADWAY
WHITE PLAINS
NY
106032403
Provider Mailing Phone/Fax
| Phone: | 9147610600 |
| Fax: |