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Individual

GISELE ELIZABETH ESCOBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
STONY BROOK UNIVERSITY MEDICAL CTR, 16S ROOM 087, STONY BROOK, NY 11794-7191
(631) 444-2901
(631) 444-8842
Mailing address
STONY BROOK UNIVERSITY MEDICAL CTR, 16S ROOM 087, STONY BROOK, NY 11794-7191
(631) 444-2901
(631) 444-8842

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305816
NY

Other

Enumeration date
08/12/2011
Last updated
08/12/2011
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