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Individual

ANA C COSTA-FREASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
235 RAFF AVE, MINEOLA, NY 11501-3224
(516) 984-3115

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
336188
NY

Other

Enumeration date
03/19/2010
Last updated
04/22/2020
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