Healthcare Provider Details

I. General information

NPI: 1932448917
Provider Name (Legal Business Name): MONICA VIVIANA ESQUIVA M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2013
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 PELHAM RD APT. F-16
NEW ROCHELLE NY
10805-1155
US

IV. Provider business mailing address

185 CLOVE RD
NEW ROCHELLE NY
10801-1247
US

V. Phone/Fax

Practice location:
  • Phone: 914-484-4445
  • Fax:
Mailing address:
  • Phone: 914-484-4445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number023751
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: