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

JESSICA L DEVITO

Active Sole Proprietor

JESSICA L DEVITO is a In Home Supportive Care Agency healthcare provider located in LAKE GROVE, New York. NPI 1174058754 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · LAKE GROVE, NY

Registration Details

NPI Number
1174058754
Provider Type
Individual
Gender
Female
NPI Issued
Apr 20, 2017 (9.3145022791247 yrs)
Last Updated
Feb 14, 2022
Licenses
1189762 (NY)
1189762 (NY)
Sole Proprietor
Yes

Practice Information

Address
11 ELSTON CT
LAKE GROVE, NY, 117552800
Browse NY providers · Browse ZIP 11755
Phone
6317020299
Primary Specialty
In Home Supportive Care Agency
253Z00000X
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.