Individual
JAMILAH DA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
859983
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
859983
NY
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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