Individual
ALBA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20 JERUSALEM AVE 3RD FLOOR, HICKSVILLE, NY 11801
(516) 326-2020
(516) 719-7373
Mailing address
20 JERUSALEM AVE FL 3, HICKSVILLE, NY 11801-4980
(516) 326-2020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
689903
NY
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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