Individual
DR. DAMIAN P DICOSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MIDLAND AVE, PORT CHESTER, NY 10573-4943
(800) 942-3376
(914) 934-9819
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
168313
NY
207ZP0101X
Anatomic Pathology Physician
168313
NY
Other
Enumeration date
01/12/2006
Last updated
06/26/2015
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