Individual
CARMEN LEE ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
926 23RD ST APT 1, WATERVLIET, NY 12189-1767
(316) 768-9138
Mailing address
926 23RD ST APT 1, WATERVLIET, NY 12189-1767
(316) 768-9138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
124171
KS
163W00000X
Registered Nurse
Primary
813956
NY
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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