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
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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