Acosta, Theresa Diane

Acosta, Theresa Diane is an individual health care provider with primary practice located at 899 10Th Ave Athletic Dept., New York NY 10019-1069. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Acosta, Theresa Diane can be contacted via phone (212) 237-8324.

Contact Information

Primary practice address
899 10Th Ave Athletic Dept. New York NY 10019-1069
Phone: (212) 237-8324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 001384 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 001384 New York

Profile Details

NPI number 1962461608
LBN Legal business name Acosta, Theresa Diane
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 2nd, 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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