GRACE COSTA

BELLEROSE, NY
NPI1003632381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  406087)
Enumeration Date2024-12-02
Last Update Date2024-12-02
Business Address
GRACE COSTA PMHNP
25219 72ND AVE
BELLEROSE, NY 11426-2727
Phone number: 516-476-8470
Mailing Address
GRACE COSTA PMHNP
25219 72ND AVE
BELLEROSE, NY 11426-2727
Phone number: 516-476-8470
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