Individual provider · Type 1 NPI

Jackelyn Fabiola Godec, RN

Addiction (Substance Use Disorder) Registered Nurse · Brentwood, NY

NPI number 1740197474 Active

Practice location

998 Crooked Hill Rd Bldg 5
Brentwood, NY 11717-1019

Call (631) 521-8400 Map

Mailing address

20 Deepdale Dr
Huntington Station, NY 11746-4220

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Registered Nurse Primary	163WA0400X	904490 (NY)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1740197474

Jackelyn Fabiola Godec, RN's National Provider Identifier is 1740197474, issued on Aug 26, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Brentwood, NY. The record was last updated on Aug 26, 2026.