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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JACQUELINE VANDEMARK

Active Sole Proprietor

MRS. JACQUELINE VANDEMARK is a Case Management Agency healthcare provider located in CUDDEBACKVILLE, New York. NPI 1033838008 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · CUDDEBACKVILLE, NY

Registration Details

NPI Number
1033838008
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2022 (4.0021427461998 yrs)
Last Updated
Aug 24, 2022
Sole Proprietor
Yes

Practice Information

Address
1190 US ROUTE 209
CUDDEBACKVILLE, NY, 127295321
Browse NY providers · Browse ZIP 12729
Phone
8453214220
Primary Specialty
Case Management Agency
251B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.