ALLEGRA DACOSTA-WALD
NPI 1063136711
Clinical Nurse Specialist - Adult Health in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Clinical Nurse Specialist with taxonomy code 364SA2200X and a focus in Adult Health.

Active since September 27, 2022

530 E 74TH ST, NEW YORK, NY 10021(917) 477-9594 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Allegra Dacosta-wald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLEGRA DACOSTA-WALD (NPI 1063136711) is an individual adult health provider in New York, New York, licensed in New York (714420) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1063136711

Entity TypeIndividualFemale

Primary Taxonomy364SA2200X

Provider Legal NameALLEGRA DACOSTA-WALD

Location Address530 E 74TH STNew York, NY 10021-3459

Mailing Address11314 72nd Rd Apt 2pForest Hills, NY 11375-4610

Phone(917) 477-9594

Sole ProprietorNo

Enumeration DateSeptember 27, 2022

NPPES CertifiedSeptember 27, 2022

✔ NPI 1063136711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SA2200X

License✔ Licensed in NY · 714420

Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License 714420 (NY)

530 E 74TH ST, New York, NY 10021

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA WENZEL NP-C

Nurse Practitioner (Adult Health)