Provider Demographics
NPI:1245788843
Name:ESCOBEDO, SYLWIA
Entity Type:Individual
Prefix:
First Name:SYLWIA
Middle Name:
Last Name:ESCOBEDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1492 MORRIS AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6343
Mailing Address - Country:US
Mailing Address - Phone:908-209-2884
Mailing Address - Fax:
Practice Address - Street 1:1492 MORRIS AVE
Practice Address - Street 2:APT 2
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6343
Practice Address - Country:US
Practice Address - Phone:908-209-2884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-13
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management