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1992038103
KERRY-ANN ALECIA DACOSTA
BRONX, NY
NPI
1992038103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
(Licence: NY 28001352)
Enumeration Date
2009-09-08
Last Update Date
2009-09-08
Business Address
Ms. KERRY-ANN ALECIA DACOSTA CNM
1650 GRAND CONCOURSE
BRONX, NY 10457-7606
Phone number: 718-590-1800
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Mailing Address
Ms. KERRY-ANN ALECIA DACOSTA CNM
17305 143RD RD
JAMAICA, NY 11434-4619
Phone number: 718-525-0719
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