Individual
OFELIA ESTELA LEROUX ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
506 LENOX AVE # MLK11101, NEW YORK, NY 10037-1802
(212) 939-1641
(212) 939-3536
Mailing address
506 LENOX AVE # MLK11101, NEW YORK, NY 10037-1802
(212) 939-1641
(212) 939-3536
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
P13750
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2016
Last updated
11/27/2018
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