George Acevedo

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Corona, NY

NPI 1992941959 · NPPES record last updated Dec 22, 2008

Key facts

NPI
1992941959
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
10720 Northern Blvd
Corona, NY 11368-1236
Phone
(718) 651-0096
NPI assigned
Dec 22, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Elmcor Youth and Adult Activities Past Accepting new patients
Elmcor Youth & Adult Activities Inc Past
since Nov 19, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

10720 Northern Blvd
Corona, NY 11368-1236

Mailing address

873 E 228TH St
Bronx, NY 10466-4422
Phone (718) 882-7325

Other providers in Corona, NY

All providers in Corona, NY · Addiction (Substance Use Disorder) Counselor in New York

Sources for this page

Verify at the official NPI Registry.