Healthcare Provider Details

I. General information

NPI: 1144140633
Provider Name (Legal Business Name): CESAR ACOSTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 E 42ND ST FL 6
NEW YORK NY
10017-5831
US

IV. Provider business mailing address

220 E 42ND ST FL 6
NEW YORK NY
10017-5831
US

V. Phone/Fax

Practice location:
  • Phone: 917-583-8833
  • Fax:
Mailing address:
  • Phone: 917-583-8833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number113335
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number113335
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: