Mary Ann Domingo Acierto, ANP-BC
Individual provider Active NPI Adult Health Nurse Practitioner · New York, NY
NPI 1578869640 · NPPES record last updated Feb 7, 2011
Key facts
- NPI
- 1578869640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- F305582-1 (NY)
- Practice address
- 1 Gustave L Levy PL
New York, NY 10029-6574 - Phone
- (212) 241-9061
- Fax
- (212) 860-6631
- NPI assigned
- Feb 7, 2011
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| F305582-1 | NY | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F305582-1 | NY | Yes |
Addresses
Primary practice location
1 Gustave L Levy PL
New York, NY 10029-6574
Mailing address
1 Gustave L Levy PL # 1116
New York, NY 10029-6574
Phone (212) 241-9061
Other providers in New York, NY
- Nonyerem Okwukwe Acholonu-Fomin
- Rhonda Graves Acholonu
- Uchenna Cletus Acholonu Jr.
- Wies Achterkamp-Hurkmans
- Evelyn E Achugonye
- Ceren Acik
- Lauren Acinapura
- Samantha Acito
- Nana Ama Ackah
- Alexandra Lauren Acker
All providers in New York, NY · Adult Health Nurse Practitioner 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 Feb 7, 2011. 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.