Blossom R Dacosta
Blossom R Dacosta is a Counselor in Hicksville, New York. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
950 S Oyster Bay RdHicksville, NY 11801-3510
Phone: (516) 822-6111
Fax: (516) 396-5067
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1548841224 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 15, 2021 |
| Last updated in NPPES | April 15, 2021 |
| Certification date | April 15, 2021 |
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