Acosta, Juan Fernando

Acosta, Juan Fernando is an individual health care provider with primary practice located at 4422 3Rd Ave , Bronx NY 10457-2545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Acosta, Juan Fernando can be contacted via phone (718) 960-5627.

Contact Information

Primary practice address
4422 3Rd Ave Bronx NY 10457-2545
Phone: (718) 960-5627
Fax: (718) 960-6125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 213508 New York

Profile Details

NPI number 1316940968
LBN Legal business name Acosta, Juan Fernando
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Feb 1st, 2008 - about 16 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 1316940968 NPPES
New York MEDICAID 02136170

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