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Jaclyn Soto

Licensed Practical Nurse in Central Valley, NY. Individual provider (NPI-1).

NPI number1669952818
StatusActive
Last updated in NPPESAug 17, 2018

Details

NPI
1669952818
Entity type
Individual (NPI-1)
Name
Jaclyn Soto
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 17, 2018
Last updated
Aug 17, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse313188NYYes

Practice location

8 Gregory Ln
Central Valley, NY 10917-5012

Phone 718-828-2666

Mailing address

8 Gregory Ln
Central Valley, NY 10917-5012

Phone 718-828-2666

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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