Healthcare Provider Details

I. General information

NPI: 1699145110
Provider Name (Legal Business Name): PAULA ESCOBER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2015
Last Update Date: 09/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 REMSEN RD
YONKERS NY
10710-1810
US

IV. Provider business mailing address

88 REMSEN RD
YONKERS NY
10710-1810
US

V. Phone/Fax

Practice location:
  • Phone: 914-325-1283
  • Fax:
Mailing address:
  • Phone: 914-325-1283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number553907
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: