NPI 1063136711

Allegra Dacosta-Wald

Practitioner Adult Health Clinical Nurse Specialist New York, NY

Practice location

Address: 530 E 74th St, New York, NY 10021-3459
Phone: (917) 477-9594
Mailing address: 11314 72nd Rd APT 2p, Forest Hills, NY 11375-4610

Registered specialties (2)

Adult Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SA2200X Licence 714420 (NY)

Other Clinical Nurse Specialist providers in New York →

Gerontology Clinical Nurse Specialist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SG0600X Licence 714420 (NY)

Registry record

NPI: 1063136711
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2022
Record last updated: 27 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.