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NPI Code Detail

MEDICARE: ANGELA ACEVEDO

MEDICARE:   ANGELA  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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1790640886
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA ACEVEDO
Provider Business Mailing Address
First Line : 41 ADLAI CIR
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-3601
Country : US
Telephone Number : 917-628-8659
Fax Number :
Provider Business Practice Location Address
First Line : 3391 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-2025
Country : US
Telephone Number : 718-608-9170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/19/2025

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Directions to “ ANGELA ACEVEDO ” Practice Location

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