Escobar, Edgar

Escobar, Edgar is an sole proprietor health care provider with primary practice located at 111 Suffolk Ave , Brentwood NY 11717-4201. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Escobar, Edgar can be contacted via phone (631) 839-1405.

Contact Information

Primary practice address
111 Suffolk Ave Brentwood NY 11717-4201
Phone: (631) 839-1405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 091383 New York

Profile Details

NPI number 1982011144
LBN Legal business name Escobar, Edgar
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2014
Last updated Jul 18th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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