MEDICARE: NICOLE ACEVEDO

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1467831636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE ACEVEDO

Provider Business Mailing Address
First Line	:	7032 69TH PL
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-6642
Country	:	US
Telephone Number	:	347-993-7670
Fax Number	:

Provider Business Practice Location Address
First Line	:	7032 69TH PL
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-6642
Country	:	US
Telephone Number	:	347-993-7670
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2015
Last Update Date	:	05/21/2015

Similar Medicare Providers

1194219303 — RAMON ABAD
Practice Location Address:

6642 MYRTLE AVE
GLENDALE, NY
11385-7057

Practice Phone: 718-386-7000
Practice Fax:

1417961004 — MARIE FRANCES ANTONIADIS PT
Practice Location Address:

6642 FOREST AVE
RIDGEWOOD, NY
11385-3153

Practice Phone: 718-821-4216
Practice Fax: 718-821-4253

1871507707 — EFSTARTIOS ANTONIADIS PT
Practice Location Address:

6642 FOREST AVE
RIDGEWOOD, NY
11385-3153

Practice Phone: 718-821-4216
Practice Fax: 718-821-4253

1932289550 — ADVANCED PHYSICAL THERAPY
Practice Location Address:

6642 FOREST AVE
RIDGEWOOD, NY
11385-3153

Practice Phone: 718-821-4216
Practice Fax: 718-821-4253

1437000783 — MARYAM GAZI
Practice Location Address:

8805 DORAN AVE
GLENDALE, NY
11385-7931

Practice Phone: 718-679-5863
Practice Fax:

1346191590 — MONICA SOPHIA SALCE RN
Practice Location Address:

7819 62ND ST
GLENDALE, NY
11385-6811

Practice Phone: 646-407-0572
Practice Fax:

Directions to “ NICOLE ACEVEDO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.