IndividualActive
Consuelo Da Costa
NPI 1780550889 · Child Intellectual and/or Developmental Disabilities Respite Care · Northport, NY
Provider details
- NPI number
- 1780550889
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respite Care Facility
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
77 Waterside Ave
Northport, NY 11768-2149
Phone: (516) 435-4079
Approximate (ZIP-level) locationGet directions
Mailing address
77 Waterside Ave
Northport, NY 11768-2149
Registry dates
- Enumerated
- 2025-10-15
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.