Individual
DR. DORA PITA-ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 NORTH ST, SUITE 102, GENEVA, NY 14456-1561
(315) 787-5400
(315) 787-5476
Mailing address
35 MASON ST, SUITE 214, GENEVA, NY 14456-1133
(315) 230-5646
(315) 230-5645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
195335
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01605343
—
NY
Enumeration date
08/30/2006
Last updated
07/21/2010
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