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Contact Information

ENRIQUE A ACOSTA, PA
227 MADISON ST
MEDICAL STAFF OFFICE , R -1249
NEW YORK, NY10002-7537
 Phone: 212-238-7614
 Fax: 212-238-7009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ENRIQUE A ACOSTA · (Male)

NPI # 1346592235
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/03/2012
Last updated 01/04/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 016338
  • NY Other 016338 NYS PHYSICIAN ASSISTANT LICENSE
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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