Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allegra Dacosta-Wald

Individual provider Gerontology Clinical Nurse Specialist · NPI 1063136711

Allegra Dacosta-Wald is a Gerontology Clinical Nurse Specialist in New York, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

530 E 74th St
New York, NY 10021-3459
Phone: (917) 477-9594
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Clinical Nurse Specialist (primary) Taxonomy 364SA2200X · Licence 714420 (NY)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 714420 (NY)

Record details

NPI number1063136711
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

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