Healthcare Provider Details

I. General information

NPI: 1740196658
Provider Name (Legal Business Name): JESSICA ANNE DALY L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 BROWN ST STE 215
PEEKSKILL NY
10566-3624
US

IV. Provider business mailing address

11 LAINOS PL
MAHOPAC NY
10541-5105
US

V. Phone/Fax

Practice location:
  • Phone: 914-729-4277
  • Fax:
Mailing address:
  • Phone: 914-729-4277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007708
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: