Individual
DR. DIANA ESPAILLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
2100 88TH ST, NORTH BERGEN, NJ 07047-4709
(201) 758-2895
(201) 758-2897
Mailing address
2100 88TH ST, NORTH BERGEN, NJ 07047-4709
(201) 758-2895
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00648100
NJ
Other
Enumeration date
07/28/2013
Last updated
07/15/2019
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