Individual provider · Type 1 NPI

Ideanna Acosta, PA-C

Medical Physician Assistant · Bronx, NY

NPI number 1043763147 Active

Practice location

1065 Southern Blvd
Bronx, NY 10459-2417

Other practice locations

  • 2265 3rd Ave, New York, NY 10035-2231 · (212) 289-6650

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X022167 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1043763147

Ideanna Acosta, PA-C's National Provider Identifier is 1043763147, issued on Jul 26, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Jun 21, 2024.