JETTAYA DECOSTA, RN

RN

Registered Nurse

NPI: 1679815427Individual

Specialties, Licenses & Credentials

Licensed Practical Nurse

Licensed Practical Nurse

Code: 164W00000X

313600-1(NY)

Registered NursePrimary

Registered Nurse

Code: 163W00000X

768677(NY)

Contact & Hours

Via practice · 2 locations total

Address: 2 Aldersgate, apt #412
Riverhead, NY 11901
Phone: (631) 494-8488

Locations (2)

Practice Location

2 Aldersgate, Riverhead, NY

Practice Location

124 OLD QUOGUE RD, RIVERHEAD, NY

Quick Facts

NPI: 1679815427
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 2

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