Individual provider · Type 1 NPI

Jacqueline Caracciolo

Specialist · Fresh Meadows, NY

NPI number 1336086628 Active

Practice location

6725 188th St
Fresh Meadows, NY 11365-3767

Call (718) 454-6460 Map

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 1336086628

Jacqueline Caracciolo's National Provider Identifier is 1336086628, issued on May 4, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on May 4, 2026.