Individual provider · Type 1 NPI
Jack Emanuel Costas Jr.
Registered Nurse · Shoreham, NY
Practice location
9 The Bnd
Shoreham, NY 11786-2239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 798819-01 (NY) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1649840372
Jack Emanuel Costas Jr.'s National Provider Identifier is 1649840372, issued on Jun 25, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Shoreham, NY. The record was last updated on Jun 25, 2021.