Dacosta, Robin S
Dacosta, Robin S is an individual health care provider with primary practice located at 1743 N Ocean Ave , Medford NY 11763-2649. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dacosta, Robin S can be contacted via phone (631) 758-3100.Contact Information
Primary practice address
1743 N Ocean Ave
Medford NY 11763-2649
Phone: (631) 758-3100
Fax: (631) 758-3168
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 188230 | New York |
Profile Details
NPI number | 1730306507 |
---|---|
LBN Legal business name | Dacosta, Robin S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 20th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730306507 | NPPES |
New York | MEDICAID | 01901106 |
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