Individual provider · Type 1 NPI
Marco Jaboli Dacillo, AGNP-C
Adult Health Nurse Practitioner · New York, NY
NPI number
1740954429
Active
Practice location
121 E 97th St Apt 33
New York, NY 10029-7210
Mailing address
525 E 68th St
New York, NY 10065-4870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | F309823 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F309823 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1740954429
Marco Jaboli Dacillo, AGNP-C's National Provider Identifier is 1740954429, issued on Aug 5, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on May 4, 2023.