Dcosta, Matias M

Dcosta, Matias M is an individual health care provider with primary practice located at 931 Hallock Ave , Port Jefferson Station NY 11776-1228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dcosta, Matias M can be contacted via phone (631) 331-7200.

Contact Information

Primary practice address
931 Hallock Ave Port Jefferson Station NY 11776-1228
Phone: (631) 331-7200
Fax: (631) 331-8636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G75168 California
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 1764091 New York

Profile Details

NPI number 1053374827
LBN Legal business name Dcosta, Matias M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 8th, 2007 - about 18 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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