IndividualActive
Allegra Dacosta-Wald
NPI 1063136711 · Adult Health Clinical Nurse Specialist · New York, NY
Provider details
- NPI number
- 1063136711
- Entity type
- Individual
- Primary specialty
- Adult Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 714420 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
530 E 74th St
New York, NY 10021-3459
Phone: (917) 477-9594
Approximate (ZIP-level) locationGet directions
Mailing address
11314 72nd Rd Apt 2p
Forest Hills, NY 11375-4610
Registry dates
- Enumerated
- 2022-09-27
- Last updated
- 2022-09-27
- Certified
- 2022-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.