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NPI Code Detail

MEDICARE: JACQUELINE FEDERICI RN

MEDICARE: JACQUELINE FEDERICI 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
1163W00000XRegistered Nurse324597-1NY

General Provider Information

NPI Number : 1881000610
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE FEDERICI RN
Provider Business Mailing Address
First Line : 13020 89TH RD
Second Line :
City : RICHMOND HILL
State : NY
Zip : 11418-3301
Country : US
Telephone Number : 718-441-8914
Fax Number :
Provider Business Practice Location Address
First Line : 13020 89TH RD
Second Line :
City : RICHMOND HILL
State : NY
Zip : 11418-3301
Country : US
Telephone Number : 718-441-8914
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2014
Last Update Date : 07/01/2014

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