Individual provider · NPI-1

Bernadette Acevedo, RPA-C

Physician Assistant · Bronx, NY

NPI number1669733929
StatusActive
Last updated in NPPESNov 26, 2018

Details

NPI
1669733929
Entity type
Individual (NPI-1)
Name
Bernadette Acevedo
Credential
RPA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 4, 2012
Last updated
Nov 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant015567NYYes

Practice location

1065 Southern Blvd
Bronx, NY 10459-2417

Phone 718-589-2440

Mailing address

1065 Southern Blvd
Bronx, NY 10459-2417

Phone 718-589-2440

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