Acosta-Lake, Cecelia

Acosta-Lake, Cecelia is an individual health care provider with primary practice located at 1894 Walton Ave , Bronx NY 10453-6018. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Acosta-Lake, Cecelia can be contacted via phone (718) 583-3060.

Contact Information

Primary practice address
1894 Walton Ave Bronx NY 10453-6018
Phone: (718) 583-3060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 051325 New York

Profile Details

NPI number 1760484331
LBN Legal business name Acosta-Lake, Cecelia
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Mar 7th, 2023 - about 3 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 1760484331 NPPES
New York Other 051325 LICENSE

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