MEDICARE: ALBERTO 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
1	104100000X	Social Worker	LM23667	ME
2	101YM0800X	Mental Health Counselor	010525-01	NY

General Provider Information

NPI Number	:	1013503275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERTO ACOSTA

Provider Business Mailing Address
First Line	:	2248 BROADWAY # 1039
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-5805
Country	:	US
Telephone Number	:	332-255-8805
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 EXTERIOR ST STE 203
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-7103
Country	:	US
Telephone Number	:	347-509-9206
Fax Number	:

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

Provider Enumeration Date	:	12/11/2020
Last Update Date	:	06/21/2024

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Directions to “ ALBERTO ACOSTA ” Practice Location

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