Individual
ORLANDO DACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
47 FORT HILL AVE, SHELTON, CT 06484-2206
(917) 287-4025
Mailing address
47 FORT HILL AVE, SHELTON, CT 06484-2206
(917) 287-4025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
873854
NY
164W00000X
Licensed Practical Nurse
311999
NY
Other
Enumeration date
09/04/2013
Last updated
01/14/2025
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