Acevedo, Manuel R
Acevedo, Manuel R is an sole proprietor health care provider with primary practice located at 619 W 145Th St , New York NY 10031-5002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Acevedo, Manuel R can be contacted via phone (212) 234-9100.Contact Information
Primary practice address
619 W 145Th St
New York NY 10031-5002
Phone: (212) 234-9100
Fax: (212) 740-5163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 122168 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 122168 | New York |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 122168 | New York |
Profile Details
| NPI number | 1194834226 |
|---|---|
| LBN Legal business name | Acevedo, Manuel R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194834226 | NPPES |
| New York | MEDICAID | 00229823 |
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