Provider Demographics
NPI:1053876524
Name:A & P PSYCHIATRIC SERVICES, PLLC
Entity type:Organization
Organization Name:A & P PSYCHIATRIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EFRAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ACOSTA-LEON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-513-6588
Mailing Address - Street 1:555 S COLORADO AVE STE 111A
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3025
Mailing Address - Country:US
Mailing Address - Phone:917-513-6588
Mailing Address - Fax:917-900-1759
Practice Address - Street 1:555 S COLORADO AVE STE 111A
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3025
Practice Address - Country:US
Practice Address - Phone:917-513-6588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty