MEDICARE: DR. JENNA NICOLE DUNCALF PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist	026065	NY
2	103TC0700X	Clinical Psychologist	026065	NY
3	103TC2200X	Clinical Child & Adolescent Psychologist	026065	NY

General Provider Information

NPI Number	:	1023546934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNA NICOLE DUNCALF PSYD

Provider Business Mailing Address
First Line	:	157 E 86TH ST STE 264
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-2113
Country	:	US
Telephone Number	:	646-493-5047
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 E 86TH ST STE 264
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-2113
Country	:	US
Telephone Number	:	646-493-5047
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2017
Last Update Date	:	04/18/2025

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