Acevedo, Jilian
Acevedo, Jilian is an individual health care provider with primary practice located at 689 Mamaroneck Ave , Mamaroneck NY 10543-5910. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Acevedo, Jilian can be contacted via phone (914) 539-1499.Contact Information
Primary practice address
689 Mamaroneck Ave
Mamaroneck NY 10543-5910
Phone: (914) 539-1499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 107907-01 | New York |
Profile Details
| NPI number | 1083207427 |
|---|---|
| LBN Legal business name | Acevedo, Jilian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2021 |
| Last updated | Feb 17th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083207427 | NPPES |
| New York | MEDICAID | 107907-01 |
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