Provider Demographics
NPI:1578350559
Name:ACOSTA, PATRICIA M (RN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:ACOSTA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:MERCEDES
Other - Last Name:ACOSTA ALMONTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PATRICIA ACOSTA
Mailing Address - Street 1:14616 220TH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-3831
Mailing Address - Country:US
Mailing Address - Phone:718-506-8302
Mailing Address - Fax:
Practice Address - Street 1:14616 220TH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-3831
Practice Address - Country:US
Practice Address - Phone:718-506-8302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY930558-01163WI0500X, 163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy