Costa, Jill Susan

Costa, Jill Susan is an individual health care provider with primary practice located at 5099A Merrick Rd , Massapequa Park NY 11762-3727. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Costa, Jill Susan can be contacted via phone (516) 798-9605.

Contact Information

Primary practice address
5099A Merrick Rd Massapequa Park NY 11762-3727
Phone: (516) 798-9605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 026314 New York

Profile Details

NPI number 1922045467
LBN Legal business name Costa, Jill Susan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922045467 NPPES
New York Other 840566 MPN

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