Genesis Acevedo
Individual provider Active NPI Speech-Language Pathologist · Brewster, NY
NPI 1346735826 · NPPES record last updated Mar 13, 2025
Key facts
- NPI
- 1346735826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 203052 (AR)
- Practice address
- 1201 Village Dr
Brewster, NY 10509-1312 - Phone
- (914) 374-8466
- NPI assigned
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203052 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 029244 | NY | |
| Speech-Language Pathologist | 235Z00000X | 203052 | AR | Yes |
Addresses
Primary practice location
1201 Village Dr
Brewster, NY 10509-1312
Mailing address
50 White St Apt 104
Tarrytown, NY 10591-3628
Other practice location 1
1560 Mayflower Ave
Bronx, NY 10461-5400
Phone (718) 948-1900
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All providers in Brewster, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.