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1265202030
NICHOLAS COSTA
DEER PARK, NY
NPI
1265202030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 120551)
Enumeration Date
2024-01-03
Last Update Date
2024-01-03
Business Address
NICHOLAS COSTA LMSW
6 DEFEO CT
DEER PARK, NY 11729-1834
Phone number: 631-229-7553
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Mailing Address
NICHOLAS COSTA LMSW
6 DEFEO CT
DEER PARK, NY 11729-1834
Phone number: 631-229-7553
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