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NPI Code Detail

MEDICARE: MELISSA ACOSTA

MEDICARE:   MELISSA  ACOSTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1154747392
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ACOSTA
Provider Business Mailing Address
First Line : 115 W 231ST ST
Second Line :
City : BRONX
State : NY
Zip : 10463-5904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 115 W 231ST ST
Second Line :
City : BRONX
State : NY
Zip : 10463-5904
Country : US
Telephone Number : 646-643-3998
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2014
Last Update Date : 04/21/2014

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Directions to “ MELISSA ACOSTA ” Practice Location

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