Individual
DR. EDWARD ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4158 JUDGE ST, SUITE B1, ELMHURST, NY 11373-2400
(718) 533-8029
Mailing address
4158 JUDGE ST, SUITE B1, ELMHURST, NY 11373-2400
(718) 533-8029
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01804517
—
NY
Enumeration date
06/23/2006
Last updated
07/08/2007
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