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Contact Information

ROBIN S DACOSTA, MD
217 PORTION RD
RONKONKOMA, NY11779-2341
 Phone: 631-758-3100
 Fax: 631-758-3168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBIN S DACOSTA · (Female)

NPI Number 1730306507
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2007
Last updated 04/02/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 188230
  • NY Medicaid 01901106
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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