Individual provider · Type 1 NPI

Ian Dacosta

Mental Health Counselor · Bronx, NY

NPI number 1790140341 Active

Practice location

3050 White Plains Road
Bronx, NY 10469

Call (929) 348-4486 Map

Fax (718) 944-7090

Mailing address

1834 Dogwood Drive
Yorktown Heights, NY 10598

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1790140341

Ian Dacosta's National Provider Identifier is 1790140341, issued on Dec 28, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Dec 28, 2015.