Costa, Jennifer L

Costa, Jennifer L is an individual health care provider with primary practice located at 1500 Ny-112 Building 4, 2Nd Floor, Port Jefferson Station NY 11776. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Costa, Jennifer L can be contacted via phone (631) 928-0188.

Contact Information

Primary practice address
1500 Ny-112 Building 4, 2Nd Floor Port Jefferson Station NY 11776
Phone: (631) 928-0188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2240 New York

Profile Details

NPI number 1205080413
LBN Legal business name Costa, Jennifer L
Credentials AUD.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2008
Last updated Mar 22nd, 2024 - about 6 months 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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