Healthcare Provider Details

I. General information

NPI: 1134023534
Provider Name (Legal Business Name): JAWONIO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 N LITTLE TOR RD
NEW CITY NY
10956-2627
US

IV. Provider business mailing address

260 N LITTLE TOR RD
NEW CITY NY
10956-2627
US

V. Phone/Fax

Practice location:
  • Phone: 845-708-2000
  • Fax: 845-634-7731
Mailing address:
  • Phone: 845-708-2000
  • Fax: 856-347-7731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: DELORES MCKANE
Title or Position: ACCOUNTS RECEIVABLE MANAGER
Credential:
Phone: 845-708-2000