Individual provider · Type 1 NPI

Joao Pedro Goncalves Kasakewitch, MD

Student in an Organized Health Care Education/Training Program · Mineola, NY

NPI number 1023809373 Active

Practice location

259 1st St
Mineola, NY 11501-3957

Call (516) 663-0333 Map

Mailing address

170 Tremont St Apt 707
Boston, MA 02111-1127

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023809373

Joao Pedro Goncalves Kasakewitch, MD's National Provider Identifier is 1023809373, issued on May 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mineola, NY. The record was last updated on May 15, 2025.