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NPI Code Detail

MEDICARE: JACQUELYN N VARGETTO

MEDICARE:   JACQUELYN N VARGETTO
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1407785298
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELYN N VARGETTO
Provider Business Mailing Address
First Line : 457 LITTLE BRITAIN RD
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-5145
Country : US
Telephone Number : 845-245-9499
Fax Number :
Provider Business Practice Location Address
First Line : 379 MT HOPE RD
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-7135
Country : US
Telephone Number : 845-485-9803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ JACQUELYN N VARGETTO ” Practice Location

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