Individual provider · NPI-1

Moises Acevedo, P.A.

Physician Assistant, Medical · Bronx, NY

NPI number1497199202
StatusActive
Last updated in NPPESOct 8, 2026

Details

NPI
1497199202
Entity type
Individual (NPI-1)
Name
Mr. Moises Acevedo
Credential
P.A.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 23, 2013
Certification date
Oct 8, 2026
Last updated
Oct 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical016505NYYes

Practice location

2941 Bruckner Blvd
Bronx, NY 10461-5625

Phone 914-771-0717

Mailing address

10 Ridgeview Ave
Yonkers, NY 10710-5420

Phone 914-771-0717

Other practice locations

2027 Jerome Ave
Bronx, NY 10453-1803

Phone 914-771-0717

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