Individual provider · Type 1 NPI
Allegra Dacosta-Wald
Adult Health Clinical Nurse Specialist · New York, NY
NPI number
1063136711
Active
Practice location
530 E 74th St
New York, NY 10021-3459
Mailing address
11314 72nd Rd Apt 2P
Forest Hills, NY 11375-4610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | 714420 (NY) |
| Adult Health Clinical Nurse Specialist Primary | 364SA2200X | 714420 (NY) |
Adult Health Clinical Nurse Specialist: Definition to come...
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About NPI 1063136711
Allegra Dacosta-Wald's National Provider Identifier is 1063136711, issued on Sep 27, 2022. The primary taxonomy on file is Adult Health Clinical Nurse Specialist (364SA2200X), and the practice location is in New York, NY. The record was last updated on Sep 27, 2022.