DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACQUELYN MCKAYLE

MEDICARE: JACQUELYN MCKAYLE
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCASAC-27921TRAINEENY

General Provider Information

NPI Number : 1932505344
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELYN MCKAYLE
Provider Business Mailing Address
First Line : 2488 GRAND CONCOURSE RM 417
Second Line :
City : BRONX
State : NY
Zip : 10458-5206
Country : US
Telephone Number : 718-584-7204
Fax Number : 718-584-8394
Provider Business Practice Location Address
First Line : 2488 GRAND CONCOURSE RM 417
Second Line :
City : BRONX
State : NY
Zip : 10458-5206
Country : US
Telephone Number : 718-584-7204
Fax Number : 718-584-8394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2014
Last Update Date : 11/12/2014

Similar Medicare Providers

1245530195 — MICHAEL WILLIAMS CASAC
Practice Location Address:
2488 GRAND CONCOURSE RM 417
BRONX, NY
10458-5206
Practice Phone: 718-584-7204
Practice Fax:
1285021956 — WILLIAM GONZALEZ
Practice Location Address:
2488 GRAND CONCOURSE RM 417
BRONX, NY
10458-5206
Practice Phone: 718-584-7204
Practice Fax:
1154707933 — TEDDY DAVID
Practice Location Address:
2488 GRAND CONCOURSE RM 417
BRONX, NY
10458-5206
Practice Phone: 718-584-7204
Practice Fax: 718-584-8394
1548646326 — COURTNAY CREER
Practice Location Address:
2488 GRAND CONCOURSE RM 417
BRONX, NY
10458-5206
Practice Phone: 718-584-7204
Practice Fax: 718-584-8394
1386198117 — TRI CENTER
Practice Location Address:
2488 GRAND CONCOURSE RM 417
BRONX, NY
10458-5206
Practice Phone: 718-584-7204
Practice Fax:
1386148054 — YENNI CABRERA
Practice Location Address:
2488 GRAND CONCOURSE RM 417
BRONX, NY
10458-5206
Practice Phone: 718-584-7204
Practice Fax:

Directions to “ JACQUELYN MCKAYLE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.