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1154300622
NOSHIR A DACOSTA
SMITHTOWN, NY
NPI
1154300622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: NY 194187)
Enumeration Date
2006-01-12
Last Update Date
2020-01-17
Business Address
NOSHIR A DACOSTA MD
48 ROUTE 25A STE 209
SMITHTOWN, NY 11787-1449
Phone number: 631-751-3000
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Mailing Address
NOSHIR A DACOSTA MD
1500 ROUTE 112 BLDG 4
PORT JEFFERSON STATION, NY 11776-8055
Phone number: 631-751-0000
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