Leidy Acevedo
Technician/Technologist, Optician in Teterboro, NJ. Individual provider (NPI-1).
NPI number1831970763
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1831970763
- Entity type
- Individual (NPI-1)
- Name
- Leidy Acevedo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 6, 2023
- Certification date
- Oct 6, 2023
- Last updated
- Oct 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | TD-4195 | NJ | Yes |
Practice location
1 Teterboro Landing DrTeterboro, NJ 07608-1120
Phone 201-375-4005
Mailing address
1 Teterboro Landing DrTeterboro, NJ 07608-1120
Phone 201-375-4005
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