Search › New York › 163W00000X
Jettaya Decosta, RN
NPI 1679815427 · on the registry since 2013
Practice
- Address
- 124 Old Quogue Rd
Riverhead, NY 11901 - Phone
- (631) 494-8488
Additional practice sites
- 2 Aldersgate, Riverhead, NY
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York