Healthcare Provider Details
I. General information
NPI: 1871881359
Provider Name (Legal Business Name): EMILY MARGARET ESCA AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/18/2011
Last Update Date: 12/03/2021
Certification Date: 11/24/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
161 SOUTH CENTRAL PARK AVENUE
HARTSDALE NY
10530
US
IV. Provider business mailing address
161 SOUTH CENTRAL PARK AVENUE
HARTSDALE NY
10530
US
V. Phone/Fax
- Phone: 914-902-8845
- Fax: 914-902-8846
- Phone: 914-902-8845
- Fax: 914-902-8846
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 02352 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: