Individual
ADALY ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 E 161ST ST, BRONX, NY 10451-3512
(718) 993-3397
(718) 402-4969
Mailing address
260 E 161ST ST, BRONX, NY 10451-3512
(718) 993-3397
(718) 402-4969
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
659488
NY
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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