Individual
MISS ROSEMARIE ELENA DACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 KAPPOCK STREET, 15M, RIVERDALE, NY 10463
(917) 723-2472
Mailing address
555 KAPPOCK ST, 15M, BRONX, NY 10463-6420
(917) 723-2472
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1263102
NY
Other
Enumeration date
08/31/2016
Last updated
04/21/2017
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