Individual
DANIEL JOSEPH DACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 W CARSON ST, BOX 400, TORRANCE, CA 90502-2004
(310) 222-2401
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6054
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
304524-01
NY
Other
Enumeration date
05/06/2014
Last updated
10/06/2023
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