Provider Demographics
NPI:1932759859
Name:ACERO, DAISY MARIE
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:MARIE
Last Name:ACERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6908 37TH RD APT 1
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-2884
Mailing Address - Country:US
Mailing Address - Phone:646-522-7444
Mailing Address - Fax:
Practice Address - Street 1:6908 37TH RD APT 1
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-2884
Practice Address - Country:US
Practice Address - Phone:646-522-7444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY734588163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse