Provider Demographics
NPI:1659531754
Name:COSTA, ANA C (MD)
Entity Type:Individual
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First Name:ANA
Middle Name:C
Last Name:COSTA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:STONY BROOK ANAESTHESIOLOGY UFPC
Mailing Address - Street 2:HEALTH SCIENCE CENTER LEVEL 4, # 060
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8480
Mailing Address - Country:US
Mailing Address - Phone:631-444-2975
Mailing Address - Fax:631-444-2907
Practice Address - Street 1:STONY BROOK ANAESTHESIOLOGY UFPC
Practice Address - Street 2:HEALTH SCIENCE CENTER LEVEL 4, # 060
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8480
Practice Address - Country:US
Practice Address - Phone:631-444-2975
Practice Address - Fax:631-444-2907
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2013-08-15
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Provider Licenses
StateLicense IDTaxonomies
NY263383207L00000X
CAA 122295207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology