Provider Demographics
NPI:1215473962
Name:PARASCANDOLA, JENNA C (OTR)
Entity type:Individual
Prefix:MRS
First Name:JENNA
Middle Name:C
Last Name:PARASCANDOLA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MRS
Other - First Name:JENNA
Other - Middle Name:C
Other - Last Name:PARASCANDOLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:26 CUSTER AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-5108
Mailing Address - Country:US
Mailing Address - Phone:914-588-0579
Mailing Address - Fax:
Practice Address - Street 1:26 CUSTER AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-5108
Practice Address - Country:US
Practice Address - Phone:914-588-0579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021203-01225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist