Individual
CAROLINA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1138 229TH DR S APT 13F, BRONX, NY 10466-5210
(917) 736-8587
Mailing address
1138 229TH DR S APT 13F, BRONX, NY 10466-5210
(917) 736-8587
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/23/2016
Last updated
10/23/2016
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