MEDICARE: WESLEY COSTA DAS NEVES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F358002-01	NY

General Provider Information

NPI Number	:	1861343667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WESLEY COSTA DAS NEVES

Provider Business Mailing Address
First Line	:	50 PARK AVE APT 1
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-3528
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 PARK AVE APT 1
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-3528
Country	:	US
Telephone Number	:	914-334-0594
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “ WESLEY COSTA DAS NEVES ” Practice Location

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