MS. DORA ALEJANDRA ACEVEDO


Address: 275 Balcom Ave, Bronx, NY 10465-3104
Phone: 3472935794

MS. DORA ALEJANDRA ACEVEDO (NPI# 1407024839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407024839
Entity Type Individual
Full Name MS. DORA ALEJANDRA ACEVEDO
Credential PNP
Practice Address 275 Balcom Ave
Bronx
NY 10465-3104
Practice Telephone 3472935794
Mailing Telephone 3472935794
Enumeration Date 2008-02-19
Last Update Date 2008-02-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
381952 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 275 BALCOM AVE
City BRONX
State NY
Zip Code 10465-3104

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City BRONX
Zip Code 10465

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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