Individual
MR. PABLO JOSE ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
101 WEST 91 STREET, TRINITY SCHOOL, NEW YORK, NY 10024
(646) 827-6667
Mailing address
175 W 87TH ST APT 28C, NEW YORK, NY 10024-2910
(646) 533-5208
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
67 002 042
NY
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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