NPI
Jacqueline Ann Butera
NPI 1619261880
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2011-06-06
- Last updated
- 2011-06-06
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Specialties
Licenses
- License NY
- 2373797
Location
- Practice location
- 100 Saratoga Village Blvd, Suite 35
- City
- Malta NY
- Postal code
- 12020-3737
- Phone
- (518) 899-9235
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Malta, NY. 226 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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