Acosta, Delaney M
Acosta, Delaney M is an individual health care provider with primary practice located at 888 Route 6 , Mahopac NY 10541-6201. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Acosta, Delaney M can be contacted via phone (845) 628-3400.Contact Information
Primary practice address
888 Route 6
Mahopac NY 10541-6201
Phone: (845) 628-3400
Fax: (845) 628-3010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 052975 | New York |
Profile Details
| NPI number | 1104997931 |
|---|---|
| LBN Legal business name | Acosta, Delaney M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jan 19th, 2016 - about 8 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 | 1104997931 | NPPES |
| New York | MEDICAID | 01620680 |
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