Acosta, Edwin R

Acosta, Edwin R is an individual health care provider with primary practice located at 600 Roe Ave , Elmira NY 14905-1629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Acosta, Edwin R can be contacted via phone (607) 734-3414.

Contact Information

Primary practice address
600 Roe Ave Elmira NY 14905-1629
Phone: (607) 734-3414
Fax: (607) 734-9728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 207426-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 207426 New York

Profile Details

NPI number 1255309985
LBN Legal business name Acosta, Edwin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jun 29th, 2023 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255309985 NPPES
Pennsylvania MEDICAID 1667956
Pennsylvania MEDICAID 01759677

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