Jamilah Da Costa
Registered Nurse, Addiction (Substance Use Disorder) in Jamaica, NY. Individual provider (NPI-1).
NPI number1871302901
StatusActive
Last updated in NPPESJan 3, 2025
Details
- NPI
- 1871302901
- Entity type
- Individual (NPI-1)
- Name
- Jamilah Da Costa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2025
- Certification date
- Jan 3, 2025
- Last updated
- Jan 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | 859983 | NY | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 859983 | NY |
Practice location
14410 Jamaica AveJamaica, NY 11435-3624
Phone 718-206-1990
Mailing address
9711 Horace Harding Expy Apt 3jCorona, NY 11368-4704
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