IAN DACOSTA (NPI# 1790140341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790140341 |
| Entity Type | Individual |
| Full Name | IAN DACOSTA |
| Practice Address |
3050 White Plains Road Bronx NY 10469 |
| Mailing Address |
1834 Dogwood Drive Yorktown Heights NY 10598 |
| Practice Telephone | 9293484486 |
| Practice Fax Number | 7189447090 |
| Mailing Telephone | 9179167368 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3050 WHITE PLAINS ROAD |
| City | BRONX |
| State | NY |
| Zip Code | 10469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245354083 | Isabella Kanellopoulou | Psychiatry & Neurology | 3050 White Plains Road, Bronx, NY 10467 | 2007-03-19 |
| 1417571639 | Samaritan Daytop Village, Inc. | Clinic/Center | 3050 White Plains Road, Bronx, NY 10467 | 2020-06-03 |
| 1710342472 | Myung Park | Peer Specialist | 3050 White Plains Road, Bronx, NY 10467 | 2015-12-23 |
| 1629433388 | Henry Perez | Counselor | 3050 White Plains Road, Bronx, NY 10467 | 2015-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1437705720 | Wafaa Khoury | Behavioral Analyst | Important Steps,inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
| 1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
| 1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
| 1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
| 1316422546 | Leon Anibal Guzman | Registered Nurse | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
| 1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
| 1720578719 | Kimberly Carrion Alicea | Psychologist | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
| 1235627993 | Kayon Donaldson | Nurse Practitioner | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
| 1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
| Find all providers in zip 10469 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1578162400 | Nancy Alfaro | Counselor | 280 E 134th St Apt 6b, Bronx, NY 10454-4585 | 2020-10-21 |
| 1639778954 | Healthy Minds Nyc Pllc | Counselor | 3060 Albany Cres Apt 33, Bronx, NY 10463-5637 | 2020-10-19 |
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1033725908 | Richard Anthony Robinson | Counselor | 1530 Plimpton Ave Apt 1b, Bronx, NY 10452-1741 | 2020-09-16 |
| 1477168680 | Fathima Humaira Naushad | Counselor | 3508 Kings College Pl Apt 4d, Bronx, NY 10467-1562 | 2020-09-14 |
| 1790399491 | Rossi Alim Hassad | Counselor | 1980 Unionport Rd Apt E31, Bronx, NY 10462-2864 | 2020-09-01 |
| 1659983054 | Xioel Lissette Terrero | Counselor | 780 Pelham Pkwy S Apt E14, Bronx, NY 10462-1105 | 2020-08-18 |
| 1114537644 | Alexandra Carter | Counselor | 1021 Jennings St, Bronx, NY 10460-6010 | 2020-08-10 |
| 1801414040 | Andrea Fernandez | Counselor | 2190 Bolton St Apt 3b, Bronx, NY 10462-1317 | 2020-07-13 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.