Individual
GLORIA ESPINOZA RN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3911 RICHMOND AVE, STATEN ISLAND, NY 10312-5110
(718) 948-3232
(718) 966-6605
Mailing address
3911 RICHMOND AVE, STATEN ISLAND, NY 10312-5110
(718) 948-3232
(718) 966-6605
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
131624228
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013083476
EIN 1013083476
NY
Enumeration date
09/12/2016
Last updated
09/12/2016
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