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Contact Information

MARCELO ACOSTA, PA
15029 72ND RD APT A
FLUSHING, NY11367-2138
 Phone: 917-300-5136
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARCELO ACOSTA · (Male)

NPI Number 1275889032
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/31/2012
Last updated 07/31/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 015703
  • NY Medicaid 1275889032
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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