Courtney Acito

Individual provider Active NPI Licensed Practical Nurse · Pittsford, NY

NPI 1134748445 · NPPES record last updated Apr 16, 2020

Key facts

NPI
1134748445
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
338178 (NY)
Practice address
43 Kathy Dr
Pittsford, NY 14534-2649
Phone
(585) 503-5903
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
338178NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 338178 NY Yes

Addresses

Primary practice location

43 Kathy Dr
Pittsford, NY 14534-2649

Mailing address

43 Kathy Dr
Pittsford, NY 14534-2649
Phone (585) 503-5903

Other providers in Pittsford, NY

All providers in Pittsford, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.