Individual
MIGUEL ESPAILLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4123 3RD AVE, BRONX, NY 10457
(718) 299-3045
Mailing address
2640 MARION AVE APT 2J, BRONX, NY 10458-4107
(646) 705-4644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NY
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
05/15/2017
Last updated
02/27/2019
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