Most Relevant Information
Provider Data
| NPI Number: | 1003179904 |
| Provider Name: | YNDIRA ACOSTA M.E.D |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 2282079 |
Most Important Dates
| Enumeration Date: | 06/17/2012 |
| Last Updated: | 06/17/2012 |
Provider Practice Location
2625 E 14TH ST
BROOKLYN
NY
112353979
Practice Location Phone/Fax
| Phone: | 7187692698 |
| Fax: |
Provider Mailing Location
2065 DAVIDSON AVE APT 4B
BRONX
NY
104533344
Provider Mailing Phone/Fax
| Phone: | 3475693783 |
| Fax: |