Individual
ESCARLE CUSTODIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
710 W 168TH ST FL 4, NEW YORK, NY 10032-3726
(929) 527-5312
Mailing address
710 W 168TH ST FL 4, NEW YORK, NY 10032-3726
(212) 326-8941
(212) 342-6850
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
F357876-01
NY
363LF0000X
Family Nurse Practitioner
Primary
F357876-01
NY
Other
Enumeration date
02/11/2026
Last updated
04/22/2026
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