Acosta, Indira

Acosta, Indira is an individual health care provider with primary practice located at 183 S Orange Ave , Newark NJ 07103-2757. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Acosta, Indira can be contacted via phone (800) 969-5300.

Contact Information

Primary practice address
183 S Orange Ave Newark NJ 07103-2757
Phone: (800) 969-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1063788453
LBN Legal business name Acosta, Indira
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2012
Last updated Mar 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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