Individual provider · Type 1 NPI

Jaclyn Kollegger

Specialist · East Setauket, NY

NPI number 1124561485 Active

Practice location

14 Research Way
East Setauket, NY 11733-3453

Mailing address

48 Holly Drive
Sayville, NY 11782

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1124561485

Jaclyn Kollegger's National Provider Identifier is 1124561485, issued on Nov 18, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in East Setauket, NY. The record was last updated on Nov 18, 2016.