Individual
ROBERT LACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
398 FEURA BUSH RD, GLENMONT, NY 12077-2954
(518) 435-1250
(518) 449-3073
Mailing address
398 FEURA BUSH RD, GLENMONT, NY 12077-2954
(518) 435-1250
(518) 449-3073
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000046643
NY
Other
Enumeration date
12/13/2013
Last updated
01/06/2017
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