Emanuel Diano Acosta, LPN
Licensed Practical Nurse in Rochester, NY. Individual provider (NPI-1).
NPI number1992066278
StatusActive
Last updated in NPPESJun 4, 2012
Details
- NPI
- 1992066278
- Entity type
- Individual (NPI-1)
- Name
- Mr. Emanuel Diano Acosta
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2012
- Last updated
- Jun 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 3045061 | NY | Yes |
Practice location
1335 Jefferson Rd23013
Rochester, NY 14692-8099
Phone 585-509-3529
Mailing address
1335 Jefferson Rd23013
Rochester, NY 14692-8099
Phone 585-509-3529
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