Organization
DIEGO ESCOBAR MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO ESCOBAR MD (OWNER)
(646) 265-7865
Entity
Organization
Contact information
Practice address
320 E 46TH ST, APT 20-G, NEW YORK, NY 10017-3042
(646) 265-7865
(201) 288-7801
Mailing address
320 E 46TH ST, APT 20-G, NEW YORK, NY 10017-3042
(646) 265-7865
(201) 288-7801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
236217
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236217
LICENSE
NY
Enumeration date
02/01/2010
Last updated
02/01/2010
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