Provider Demographics
NPI:1831832419
Name:COSTA, DELIA SILVERIO (MD)
Entity type:Individual
Prefix:DR
First Name:DELIA
Middle Name:SILVERIO
Last Name:COSTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DELIA
Other - Middle Name:INES
Other - Last Name:SILVERIO GOMEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1276 FULTON AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-3402
Mailing Address - Country:US
Mailing Address - Phone:718-901-8600
Mailing Address - Fax:718-293-1475
Practice Address - Street 1:1276 FULTON AVE FL 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-3402
Practice Address - Country:US
Practice Address - Phone:718-901-8600
Practice Address - Fax:718-293-1475
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program