Healthcare Provider Details

I. General information

NPI: 1598292609
Provider Name (Legal Business Name): REBECA ESCOTO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2017
Last Update Date: 08/09/2023
Certification Date: 08/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 PALMER RD APT 1E
YONKERS NY
10701-5130
US

IV. Provider business mailing address

555 PALMER RD APT 1E
YONKERS NY
10701-5130
US

V. Phone/Fax

Practice location:
  • Phone: 914-343-6326
  • Fax:
Mailing address:
  • Phone: 914-343-6326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number002089
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: