Matias M Dcosta in Port Jefferson Stati - Internal Medicine

Matias M Dcosta - NPI 1053374827

Matias M Dcosta is a Internal Medicine in Port Jefferson Stati, New York. Matias M Dcosta practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Matias M Dcosta is 1053374827. The last update date is 2007-07-08.

Matias M Dcosta's current location address is 931 Hallock Ave, Port Jefferson Stati, New York. You can contact this provider via phone number 6313317200 and fax number 6313318636. The mailing address for Matias M Dcosta is 931 Hallock Ave, Port Jefferson Stati, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Matias M Dcosta
Address 931 Hallock Ave, Port Jefferson Stati, New York
Phone Number 6313317200
Fax Number 6313318636
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053374827
Provider Enumeration Date 2006-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 931 Hallock Ave
City Port Jefferson Stati
State New York (NY)
Post Code 117761228
Phone Number 6313317200
Fax Number 6313318636

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No G75168
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Matias M Dcosta

What is the Matias M Dcosta's unique identification number?

The Matias M Dcosta has been assigned the NPI (National Provider Identifier) Number 1053374827 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Matias M Dcosta is physically located?

The Matias M Dcosta is physically situated at the following address: 931 Hallock Ave, Port Jefferson Stati, NY, 117761228.

What is the Matias M Dcosta's area of specialization and corresponding taxonomy classification?

The Matias M Dcosta's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

When did the Matias M Dcosta receive its 1053374827?

The Matias M Dcosta was issued its 1053374827 on 2006-04-11, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Matias M Dcosta, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Matias M Dcosta, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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