Individual
GRETEL ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 HOMER AVE, PH, BRONX, NY 10473-2001
(917) 455-4103
Mailing address
2051 HOMER AVE, PH, BRONX, NY 10473-2001
(917) 455-4103
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1286259
NY
Other
Enumeration date
03/27/2016
Last updated
03/27/2016
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