Provider Demographics
NPI:1043542665
Name:ESQUILIN, RACHEL JOANNA (LAC)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:JOANNA
Last Name:ESQUILIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:507 PARK PL
Mailing Address - Street 2:APT 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4679
Mailing Address - Country:US
Mailing Address - Phone:347-260-3072
Mailing Address - Fax:
Practice Address - Street 1:911 UNION ST
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1418
Practice Address - Country:US
Practice Address - Phone:347-260-3072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-06
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004243-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist