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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUAN RUDDY FONDEUR ACOSTA, M.D.

Deactivated

JUAN RUDDY FONDEUR ACOSTA, M.D. is a Student (Health Education/Training) healthcare provider located in BRONX, New York. NPI 1598442766 is deactivated in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · BRONX, NY

This NPI has been deactivated. The record was deactivated on February 2, 2024. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1598442766
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2023 (0.59562841530055 yrs)
Last Updated
Jun 18, 2024
Deactivated
Feb 2, 2024

Practice Information

Address
1650 GRAND CONCOURSE BRONX-LEBANON HOSPITAL CENTER,
BRONX, NY, 10457
Browse NY providers · Browse ZIP 10457
Phone
7019018203
Fax
7189018704
Primary Specialty
Student (Health Education/Training)
390200000X

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MRS. SOMMER NIKISHIA GRIPPER M.D. 1841416575
MRS. DONNA E ACEVEDO PNP 1649490079
MWANIKI MWANGI 1093917411
DEBORAH ORSI MD 1104025899
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.