Acevedo, Manuel R

Acevedo, Manuel R is an sole proprietor health care provider with primary practice located at 619 W 145Th St , New York NY 10031-5002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Acevedo, Manuel R can be contacted via phone (212) 234-9100.

Contact Information

Primary practice address
619 W 145Th St New York NY 10031-5002
Phone: (212) 234-9100
Fax: (212) 740-5163
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 122168 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 122168 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 122168 New York

Profile Details

NPI number 1194834226
LBN Legal business name Acevedo, Manuel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194834226 NPPES
New York MEDICAID 00229823

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