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

JESSICA CANONICO

Active Sole Proprietor

Specialist · BREWSTER, NY

Registration Details

NPI Number: 1811616592
Provider Type: Individual
Gender: Female
NPI Issued: Aug 25, 2022 (3.6862339510249 yrs)
Last Updated: Sep 9, 2024
Sole Proprietor: Yes

Practice Information

Address: 1689 ROUTE 22

BREWSTER, NY, 105094022
Browse NY providers · Browse ZIP 10509
Phone: 8452792378
Primary Specialty: Specialist
174400000X

Other Specialist Providers in BREWSTER, NY

Name	Credential	NPI
MR. DOMINIC JAMES CAPONE	M.S., P.T.	1144421553
JENNIFER A JOLY	MSED	1588926067
MS. LYNN EDELSON	—	1497018568
MS. FRANCINE M SANTOS	—	1114281375
MRS. RACHEL ANN GUTTERMAN-GERSTMAN	M. A.	1558625616
MR. JOHN MUELLER	OTR/L	1437586187

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.