Individual provider · Type 1 NPI

Jessica Maldonado

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

NPI number 1407580780 Active

Practice location

2158 Willow St
Wantagh, NY 11793-4223

Mailing address

31 Leonard St Apt 20H
Brooklyn, NY 11206-3027

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 1407580780

Jessica Maldonado's National Provider Identifier is 1407580780, issued on Jul 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wantagh, NY. The record was last updated on Jul 13, 2022.