MEDICARE: JACQUELYN PRESTOY

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1528922382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELYN PRESTOY

Provider Business Mailing Address
First Line	:	1300 HALSEY ST APT 3C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-6598
Country	:	US
Telephone Number	:	703-839-6387
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 HALSEY ST APT 3C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-6598
Country	:	US
Telephone Number	:	703-839-6387
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ JACQUELYN PRESTOY ” Practice Location

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