Individual
JOSE A ACEVEDO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 FORT WASHINGTON AVE, STE D, NEW YORK, NY 10032-4735
(212) 795-8666
(212) 795-8688
Mailing address
128 FORT WASHINGTON AVE, STE D, NEW YORK, NY 10032-4735
(212) 795-8666
(212) 795-8688
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
166868
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00966216
—
NY
01
—
4396137
AETNA
NY
Enumeration date
08/25/2005
Last updated
07/08/2007
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