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Noshir A Dacosta, MD
Hematology & Oncology Physician in Smithtown, New York
NPI 1154300622

Noshir A Dacosta is a Hematology & Oncology Physician based in Port Jefferson Station, NY and is specialized in Hematology & Oncology. Noshir A Dacosta practices in Smithtown, NY and has the professional credentials of MD. The NPI Number for Noshir A Dacosta is 1154300622 and holds a License No. 194187 (New York).

The current practice location address for Noshir A Dacosta is 48 Route 25A Ste 209, Smithtown, NY and can be reached out via phone at 631-751-3000 and via fax at 631-509-6559. You can also correspond with Noshir A Dacosta through the mailing address at 1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY - 11776-8055 (mailing address contact number: 631-751-0000).

Location: 48 Route 25A Ste 209, Smithtown, NY, 11776-8055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154300622
Provider Name
Noshir A Dacosta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
48 Route 25A Ste 209, Smithtown, NY, 11776-8055
Phone Number
631-751-3000
Fax Number
631-509-6559
Provider Enumeration Date
01/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01813125 05 NY
institution
Provider Business Practice Location Address Details
Address
48 Route 25A Ste 209
City
Smithtown
State
New York
Zip
11787-1449
Phone Number
631-751-3000
Fax Number
631-509-6559
person
Provider Business Mailing Address Details
Address
1500 Route 112 Bldg 4
City
Port Jefferson Station
State
New York
Zip
11776-8055
Phone Number
631-751-0000
Fax Number
631-509-6559
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
194187 (New York)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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