Individual
ALEXANDER ESCAMILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
480 FOREST AVE, LOCUST VALLEY, NY 11560-2151
(516) 395-3382
Mailing address
68 E GATE DR, HUNTINGTON, NY 11743-5109
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309855
NY
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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