SearchNew York164W00000X

Hazel Dacosta

NPI 1720214091 · on the registry since 2009 · sole proprietor

Practice

Address
3030 Hone Ave
Bronx, NY 10469
Phone
(718) 882-3979

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York