Individual
MARLENY MARGARITA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
507 MAIN ST, JOHNSON CITY, NY 13790-1810
(607) 763-6075
Mailing address
33 LEWIS RD, FL 2, BINGHAMTON, NY 13905
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
334453
NY
207Q00000X
Family Medicine Physician
LP05059
RI
207V00000X
Obstetrics & Gynecology Physician
334453
NY
Other
Enumeration date
03/29/2020
Last updated
01/06/2025
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