Individual
DR. JUAN FERNANDO ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-5627
(718) 960-6125
Mailing address
4838 45TH ST, WOODSIDE, NY 11377-7036
(718) 433-1928
(718) 228-4368
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
213508
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02136170
—
NY
Enumeration date
05/27/2005
Last updated
02/01/2008
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