GRACE COSTA

ROCKVILLE CENTRE, NY
NPI1003632381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  406087)
Enumeration Date2024-12-02
Last Update Date2026-07-12
Business Address
GRACE COSTA PMHNP
100 N VILLAGE AVE STE 27
ROCKVILLE CENTRE, NY 11570-3712
Phone number: 516-900-7646
Mailing Address
GRACE COSTA PMHNP
100 N VILLAGE AVE STE 27
ROCKVILLE CENTRE, NY 11570-3712
Phone number: 516-900-7646
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