| Esboces | |
|
201 Sunrise Hwy Patchogue NY 11772-1868 | |
| (631) 289-2200 | |
| Not Available |
| Full Name | Esboces |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 201 Sunrise Hwy, Patchogue, New York |
| Authorized Official Name and Position | Risa Locascio (NURSE SUPERVISOR) |
| Authorized Official Contact | 6312892200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esboces 201 Sunrise Hwy Patchogue NY 11772-1868 Ph: (631) 289-2200 | Esboces 201 Sunrise Hwy Patchogue NY 11772-1868 Ph: (631) 289-2200 |
| NPI Number | 1093092025 |
|---|---|
| Provider Enumeration Date | 11/04/2011 |
| Last Update Date | 11/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093092025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Primary |
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