Provider Demographics
NPI:1528003068
Name:OCHOTORENA-ACOSTA, FLORICA (MD)
Entity Type:Individual
Prefix:DR
First Name:FLORICA
Middle Name:
Last Name:OCHOTORENA-ACOSTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FLORICA
Other - Middle Name:
Other - Last Name:OCHOTORENA-ACOSTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:117 WEST LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440
Mailing Address - Country:US
Mailing Address - Phone:315-337-2582
Mailing Address - Fax:315-337-2580
Practice Address - Street 1:117 WEST LIBERTY ST
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440
Practice Address - Country:US
Practice Address - Phone:315-337-2582
Practice Address - Fax:315-337-2580
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2160872084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02587382Medicaid
NYRA4720Medicare PIN
H75641Medicare UPIN