| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | DICOSTANZO LYNNE | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | 00151504 | [sources] | |||
| NPI | 1821102021 | [sources] | |||
| Sector | Physician | [sources] | |||
| Status | not available | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
us-medny-8dc8364083a27d7fef829df7b3a6a23758ff18eb · us-npi-1821102021For experts: raw data explorer
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