Individual
PATRICIA M ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14616 220TH ST, SPRINGFIELD GARDENS, NY 11413-3831
(718) 506-8302
Mailing address
14616 220TH ST, SPRINGFIELD GARDENS, NY 11413-3831
(718) 506-8302
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
930558-01
NY
163WI0500X
Infusion Therapy Registered Nurse
930558-01
NY
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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