Individual provider · Type 1 NPI

Jonathan Reynaldo Valsechi-Diaz, MD

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

NPI number 1376123901 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Call (718) 226-9000 Map

Mailing address

355 Berry St
Woodbridge, NJ 07095-3341

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351055869 (MI)

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 1376123901

Jonathan Reynaldo Valsechi-Diaz, MD's National Provider Identifier is 1376123901, issued on Apr 8, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Apr 24, 2026.