MEDICARE: RAQUEL ESCABARTE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	360094	NY
2	164W00000X	Licensed Practical Nurse	315185	NY
3	163W00000X	Registered Nurse	797561	NY

General Provider Information

NPI Number	:	1841677515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAQUEL ESCABARTE RN

Provider Business Mailing Address
First Line	:	2152 RALPH AVE # 424
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5406
Country	:	US
Telephone Number	:	718-810-3418
Fax Number	:

Provider Business Practice Location Address
First Line	:	2152 RALPH AVE # 424
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5406
Country	:	US
Telephone Number	:	718-810-3418
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2015
Last Update Date	:	06/18/2026

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