Individual provider · Type 1 NPI

Kossi Acolitse, PA

Medical Physician Assistant · Bronx, NY

NPI number 1730473406 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Mailing address

1075 Gerard Ave Apt 108
Bronx, NY 10452-8864

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X014720-1 (NY)

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About NPI 1730473406

Kossi Acolitse, PA's National Provider Identifier is 1730473406, issued on May 31, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on May 31, 2011.