Individual provider · Type 1 NPI

Jonathan D'costa

Student in an Organized Health Care Education/Training Program · Port Jefferson, NY

NPI number 1831980218 Active

Practice location

200 Belle Terre Rd
Port Jefferson, NY 11777-1928

Call (631) 474-6553 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831980218

Jonathan D'costa's National Provider Identifier is 1831980218, issued on May 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Port Jefferson, NY. The record was last updated on May 14, 2025.