Individual
EMILY MARY ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 485-2100
Mailing address
1491 GRAND CONCOURSE APT 6B, BRONX, NY 10452-6647
(347) 855-9536
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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