Jack Emanuel Costas JR.

NPI #1649840372 in Shoreham, New York

Provider Information

NPI Number
1649840372
Entity Type
Individual
Name
Jack Emanuel Costas JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Enumeration Date
Jun 25, 2021
Last Updated
Jun 25, 2021

Practice Location

Address
9 THE BND
ZIP Code
11786-2239
Phone
(516) 787-2405

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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