Individual
ADENA ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 DUMONT AVENUE, STATEN ISLAND, NY 10305
(718) 667-8510
(718) 667-4524
Mailing address
26 DUMONT AVENUE, STATEN ISLAND, NY 10305
(718) 667-8510
(718) 667-4524
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307008
NY
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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