Jack Emanuel Costas Jr.
Jack Emanuel Costas Jr. is a Registered Nurse in Shoreham, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
9 The BndShoreham, NY 11786-2239
Phone: (516) 787-2405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 798819-01 (NY) |
|---|
Record details
| NPI number | 1649840372 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 25, 2021 |
| Last updated in NPPES | June 25, 2021 |
| Certification date | June 25, 2021 |
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