Individual provider · Type 1 NPI
Jake Costantino
Student in an Organized Health Care Education/Training Program · Oakdale, PA
NPI number
1104772755
Active
Practice location
117 Saddle Ridge Dr
Oakdale, PA 15071-3727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1104772755
Jake Costantino's National Provider Identifier is 1104772755, issued on Mar 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakdale, PA. The record was last updated on Mar 6, 2026.