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1043763147
IDEANNA ACOSTA
BRONX, NY
NPI
1043763147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 022167)
Enumeration Date
2016-07-26
Last Update Date
2024-06-21
Business Address
IDEANNA ACOSTA PA-C
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
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Mailing Address
IDEANNA ACOSTA PA-C
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number:
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