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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316940968 | NPPES |
| New York | MEDICAID | 02136170 |
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