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Provider Information for 1710191879

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. DANIEL FRANCIS DICOSTANZO DDS

Gender: MALE

Individual NPI: 1710191879

Calendar   Last Updated:  2014-08-21
  Certification Date: 

Details

Name Value
NPI 1710191879
Enumeration Date 2007-05-09
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 360 BRADHURST AVE
HAWTHORNE, NY 10532-1144
United States

Phone: 914-769-1816 | Fax: 914-769-2963
View Map External Link
Primary Practice Address 360 BRADHURST AVE
HAWTHORNE, NY 10532-1304
United States

Phone: 914-769-1816 | Fax: 914-769-2963
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NY 048415