NPI
99-04 57th Avenue, Inc.
NPI 1679977680
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2014-10-20
- Last updated
- 2014-10-20
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Specialties
Licenses
- License NY
- 0438701
Location
- Practice location
- 9904 57th Ave, Suite Lh
- City
- Corona NY
- Postal code
- 11368-3746
- Phone
- (718) 760-0471
Organization contact
- Name
- Maria Acebo
- Title
- owner
- Phone
- (718) 760-0471
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Corona, NY. 860 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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