Acosta, Ana M.

Acosta, Ana M. is an sole proprietor health care provider with primary practice located at 8401 25Th Ave , East Elmhurst NY 11370-1613. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Acosta, Ana M. can be contacted via phone (347) 278-2031.

Contact Information

Primary practice address
8401 25Th Ave East Elmhurst NY 11370-1613
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 354786031 New York

Profile Details

NPI number 1356605786
LBN Legal business name Acosta, Ana M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2012
Last updated Jun 29th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356605786 NPPES
New York MEDICAID 174400000X

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