Individual provider · NPI-1

Anita D'Costa

Specialist/Technologist, Other · Forest Hills, NY

NPI number1184097743
StatusActive
Last updated in NPPESNov 4, 2015

Details

NPI
1184097743
Entity type
Individual (NPI-1)
Name
Anita D'Costa
Sex
Female
Sole proprietor
No
Enumeration date
Nov 4, 2015
Last updated
Nov 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246Z00000X Specialist/Technologist, Other––Yes

Practice location

11045 Queens Blvd Apt 518
Forest Hills, NY 11375-5503

Phone 718-880-2054

Mailing address

11045 Queens Blvd Apt 518
Forest Hills, NY 11375-5503

Phone 718-880-2054

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Other Specialist/Technologist, Other providers in Forest Hills, NY