Individual provider · NPI-1

Victor M Acosta, R.D.

Dietitian, Registered · Bronx, NY

NPI number1497872337
StatusActive
Last updated in NPPESJan 14, 2011

Details

NPI
1497872337
Entity type
Individual (NPI-1)
Name
Victor M Acosta
Credential
R.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 24, 2007
Last updated
Jan 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered2273NYYes

Practice location

1262 Boston Road
Boston Road Medical Center
Bronx, NY 10456

Phone 212-781-5889 · Fax 212-781-5805

Mailing address

1262 Boston Road
Boston Road Medical Center
Bronx, NY 10456

Phone 212-781-5889 · Fax 212-781-5805

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