JACK COSTAS

Registered Nurse

NPI: 1649840372Individual

Specialties, Licenses & Credentials

Registered NursePrimary

Registered Nurse

Code: 163W00000X

798819-01(NY)

Contact & Hours

Address: 9 THE BND
SHOREHAM, NY 11786
Phone: (516) 787-2405

Quick Facts

NPI: 1649840372
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile