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NPI Profile for CONSUELO DA COSTA in NORTHPORT, NY.
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Counselor |
101Y00000X |
| NPI # | 1780550889 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/15/2025 | |
| Last updated | 10/15/2025 - About 8 months ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CONSUELO DA COSTA
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CONSUELO DA COSTA