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Jacklyn M Goncalves
Student in an Organized Health Care Education/Training Program in Massapequa, New York
NPI 1396490538

Jacklyn M Goncalves is a Student in an Organized Health Care Education/Training Program based in Jericho, NY. Jacklyn M Goncalves practices in Massapequa, NY. The NPI Number for Jacklyn M Goncalves is 1396490538 and holds a License No. (New York).

The current practice location address for Jacklyn M Goncalves is 70 Grand Ave, Massapequa, NY and can be reached out via phone at 516-799-3203.

Location: 70 Grand Ave, Massapequa, NY, 11753-2419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396490538
Provider Name
Jacklyn M Goncalves
Credential
Provider Entity Type
Individual
Gender
Female
Address
70 Grand Ave, Massapequa, NY, 11753-2419
Phone Number
516-799-3203
Fax Number
Provider Enumeration Date
02/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
70 Grand Ave
City
Massapequa
State
New York
Zip
11758-4906
Phone Number
516-799-3203
Fax Number
person
Provider Business Mailing Address Details
Address
70 Grand Ave
City
Massapequa
State
New York
Zip
11758-4906
Phone Number
516-799-3203
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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