Individual
MR. ANTONIO JOSE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
311 W 35TH ST, NEW YORK, NY 10001-1701
(212) 736-5900
Mailing address
124 W 134TH ST APT 2B, NEW YORK, NY 10030-3148
(212) 736-5900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30899
NY
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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