Dacosta, Kristen

Dacosta, Kristen is an individual health care provider with primary practice located at 54 N Park Ave , Shrewsbury NJ 07702-4413. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Dacosta, Kristen can be contacted via phone (917) 406-0478.

Contact Information

Primary practice address
54 N Park Ave Shrewsbury NJ 07702-4413
Phone: (917) 406-0478
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT40QA00773200 New Jersey

Profile Details

NPI number 1396313896
LBN Legal business name Dacosta, Kristen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2021
Last updated Jun 12th, 2021 - about 4 years 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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