MEDICARE: DR. JENNIFER MACCARONE MD

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	207RP1001X	Pulmonary Disease Physician	327808	NY

General Provider Information

NPI Number	:	1588195234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER MACCARONE MD

Provider Business Mailing Address
First Line	:	244 WESTCHESTER AVE STE 411
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10604-2922
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	244 WESTCHESTER AVE STE 411
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10604-2922
Country	:	US
Telephone Number	:	914-821-5350
Fax Number	:

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

Provider Enumeration Date	:	03/24/2017
Last Update Date	:	07/08/2024

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