Individual
MRS. GLORIA S ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
148 ISLIP AVENUE, SUITE 27, ISLIP, NY 11751
(631) 650-6580
(631) 650-6578
Mailing address
148 ISLIP AVENUE, SUITE 27, ISLIP, NY 11751
(631) 650-6580
(631) 650-6578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
249522
NY
207Q00000X
Family Medicine Physician
249544
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03113155
—
NY
01
—
1238845
GHI
NY
01
—
297185702
UNITED HEALTH CARE
NY
01
—
754858P
HIP
NY
01
—
8515062
MULTIPLAN
NY
01
—
8865361001
CIGNA
NY
01
—
8891P2
EMPIRE BLUE CROSS BLUE SHIELD
NY
01
—
9524277
AETNA
NY
01
—
P4028576
OXFORD
NY
Enumeration date
04/02/2008
Last updated
07/28/2010
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