| Jacqueline Ann Comello, | |
| 
					1439 Buffalo St, Olean, NY 14760-1140  | |
| (716) 375-4747 | |
| Not Available | 
| Full Name | Jacqueline Ann Comello | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 1439 Buffalo St, Olean, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295367613 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P103851 (* (Not Available)) | Primary | 
| Entity Name | Merion Square Road Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942923123 PECOS PAC ID: 0446605422 Enrollment ID: O20240103001953  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jacqueline Ann Comello, 5586 Woodcrest Ave Lot 2, Fredonia, NY 14063-1539 Ph: (716) 951-0763  | Jacqueline Ann Comello, 1439 Buffalo St, Olean, NY 14760-1140 Ph: (716) 375-4747  | 
Rolita Wielkie,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Laurens St, Olean, NY 14760 Phone: 716-373-8080 Fax: 716-373-8093  | |
Nicol A Stier-dowdell, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Leo Moss Dr, Suite 4308, Olean, NY 14760 Phone: 716-373-8040 Fax: 716-373-4820  | |
Joseph S Kolasinski,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Laurens St, Olean, NY 14760 Phone: 716-373-8080 Fax: 716-373-8093  | |
Jessica Blatchley,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Leo Moss Dr, Olean, NY 14760 Phone: 716-373-8040 Fax: 716-701-3728  | |
Jacob Vecchio,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Leo Moss Dr, Olean, NY 14760 Phone: 716-373-8040 Fax: 716-701-3728  | |
Mildred Daniela Miranda Recinos,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Leo Moss Dr Ste 4308, Olean, NY 14760 Phone: 716-373-8040  | |
Aimee Kaple, NBCC, LPC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 N 17th St, Olean, NY 14760 Phone: 518-595-8500  |