Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK EMANUEL COSTAS JR.
Active Sole ProprietorJACK EMANUEL COSTAS JR. is a Registered Nurse healthcare provider located in SHOREHAM, New York. NPI 1649840372 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · SHOREHAM, NY
Registration Details
- NPI Number
- 1649840372
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2021 (4.9929785138209 yrs)
- Last Updated
- Jun 25, 2021
- License
-
798819-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9 THE BNDSHOREHAM, NY, 117862239Browse NY providers · Browse ZIP 11786
- Phone
- 5167872405
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in SHOREHAM, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. LEE STEIMEL | RN | 1609038645 |
| MRS. BARBARA I REICHERT | RN | 1821399668 |
| JILLIAN O. JABLONSKI | R.N. | 1326343799 |
| MADELEINE MARX | RN | 1003193830 |
| DANA WACHTER | R.N | 1801206958 |
| LYUDMILA ZHIRNOVA | R.N. | 1699167452 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.