Acosta, Ideanna

Acosta, Ideanna is an individual health care provider with primary practice located at 1065 Southern Blvd , Bronx NY 10459-2417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Acosta, Ideanna can be contacted via phone (718) 589-2440.

Contact Information

Primary practice address
1065 Southern Blvd Bronx NY 10459-2417
Phone: (718) 589-2440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 022167 New York

Profile Details

NPI number 1043763147
LBN Legal business name Acosta, Ideanna
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2016
Last updated Jun 21st, 2024 - 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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