JACKLYN GONCALVES

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1396490538

Practice Address

70 GRAND AVE
Massapequa, NY 11758

Phone: (516) 799-3203

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1396490538 is the National Provider Identifier for JACKLYN GONCALVES, a Student in an Organized Health Care Education/Training Program provider located in Massapequa, NY. This NPI was enumerated on February 16, 2022.
JACKLYN GONCALVES practices at 70 GRAND AVE, Massapequa, NY 11758.

Quick Facts

NPI
1396490538
Type
Individual
Enumerated
Feb 16, 2022
Last Updated
Feb 16, 2022

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