Jorge Luis Acevedo
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Buffalo, NY
NPI 1518719087 · NPPES record last updated Apr 19, 2024
Key facts
- NPI
- 1518719087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 33728 (NY)
- Practice address
- 430 Niagara St
Buffalo, NY 14201-1886 - Phone
- (716) 853-1335
- Fax
- (716) 853-1598
- NPI assigned
- Apr 5, 2024
- Sex
- Male
- 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 |
|---|---|---|---|
| 33728 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 33728 | NY | Yes |
Addresses
Primary practice location
430 Niagara St
Buffalo, NY 14201-1886
Mailing address
430 Niagara St
Buffalo, NY 14201-1886
Phone (716) 853-1335
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All providers in Buffalo, NY · Addiction (Substance Use Disorder) Counselor 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 Apr 19, 2024. 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.