Individual
YAHAIRA ACOSTA-URENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 WEST 197TH ST. C23, BRONX, NY 10468
(646) 228-3325
Mailing address
115 W 197TH ST APT C23, BRONX, NY 10468-2379
(646) 228-3325
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
939502151
NY
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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