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1033885736
CHRISTINA DECOSTA
SMITHTOWN, NY
NPI
1033885736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 310384)
Enumeration Date
2021-08-22
Last Update Date
2024-03-15
Business Address
CHRISTINA DECOSTA NP
994 W JERICHO TPKE STE 104
SMITHTOWN, NY 11787-3211
Phone number: 631-543-1440
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Mailing Address
CHRISTINA DECOSTA NP
994 W JERICHO TPKE STE 104
SMITHTOWN, NY 11787-3211
Phone number: 631-543-1440
Copy
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