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NPI Code Detail

MEDICARE: JACQUELINE KATE CERINO RN

MEDICARE: JACQUELINE KATE CERINO RN
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
1163WA0400XAddiction (Substance Use Disorder) Registered Nurse861020-01NY

General Provider Information

NPI Number : 1538001748
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE KATE CERINO RN
Provider Business Mailing Address
First Line : 88 FOX HOLLOW RD
Second Line :
City : RHINEBECK
State : NY
Zip : 12572-3639
Country : US
Telephone Number : 845-705-7114
Fax Number :
Provider Business Practice Location Address
First Line : 88 FOX HOLLOW RD
Second Line :
City : RHINEBECK
State : NY
Zip : 12572-3639
Country : US
Telephone Number : 845-705-7114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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