IAN DACOSTA

BRONX, NY
NPI1790140341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-12-28
Last Update Date2015-12-28
Business Address
-- IAN DACOSTA
3050 WHITE PLAINS ROAD
BRONX, NY 10469
Phone number: 929-348-4486
Mailing Address
-- IAN DACOSTA
1834 DOGWOOD DRIVE
YORKTOWN HEIGHTS, NY 10598
Phone number: 917-916-7368
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