Individual
ALLA ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(347) 403-0703
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(347) 403-0703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
705606-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432827
NY
Other
Enumeration date
09/28/2015
Last updated
10/11/2023
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