Individual
JENNIFER ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4277 65TH PL, WOODSIDE, NY 11377-5054
(718) 429-2000
Mailing address
188 AUTUMN AVE, BROOKLYN, NY 11208-1702
(646) 250-4253
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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