| Hermann Escobar | |
|
4132 44th St 1st Floor Sunnyside NY 11104-2203 | |
| (347) 832-0192 | |
| (347) 242-2765 |
| Full Name | Hermann Escobar |
|---|---|
| Speciality | Family Medicine |
| Location | 4132 44th St, Sunnyside, New York |
| Authorized Official Name and Position | Hermann Escobar (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3478320192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hermann Escobar 4132 44th St 1st Floor Sunnyside NY 11104-2203 Ph: (347) 832-0192 | Hermann Escobar 4132 44th St 1st Floor Sunnyside NY 11104-2203 Ph: (347) 832-0192 |
| NPI Number | 1013143155 |
|---|---|
| Provider Enumeration Date | 06/03/2009 |
| Last Update Date | 06/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013143155 | NPI | - | NPPES |
| 1366782 | Other | NY | CIGNA |
| H51169 | Other | NY | UPIN |
| 38V231 | Other | NY | MEDICARE |
| 46V69 | Other | NY | EMPIRE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 221341 (New York) | Primary |
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