Provider Demographics
NPI:1376683987
Name:PELAEZ ACOSTA, ALESKA PELAGIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALESKA
Middle Name:PELAGIA
Last Name:PELAEZ ACOSTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 LATHROP ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-1738
Mailing Address - Country:US
Mailing Address - Phone:413-356-0508
Mailing Address - Fax:
Practice Address - Street 1:84 CHAPIN TER
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1706
Practice Address - Country:US
Practice Address - Phone:413-733-6595
Practice Address - Fax:413-733-4544
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002754208000000X
NY252419208000000X
MA241656208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics