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Individual

DESTINY ESCOBAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
329 E 149TH ST FL 4, BRONX, NY 10451-5601
(718) 769-2698
(347) 402-8192
Mailing address
344 BEACH AVE APT 2, BRONX, NY 10473-3004
(347) 717-0619

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/03/2016
Last updated
04/03/2016
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