Individual provider · Type 1 NPI

Jacob Fiedler

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

NPI number 1205754934 Active

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Call (203) 985-5021 Map

Mailing address

321 E 66th St Apt 2E
New York, NY 10065-6224

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 1205754934

Jacob Fiedler's National Provider Identifier is 1205754934, issued on Jul 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Valhalla, NY. The record was last updated on Jul 9, 2026.