Provider Demographics
NPI:1487210118
Name:KUSEMA, ESCAR (MD MPH)
Entity Type:Individual
Prefix:
First Name:ESCAR
Middle Name:
Last Name:KUSEMA
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PINEHURST RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-1503
Mailing Address - Country:US
Mailing Address - Phone:207-314-9715
Mailing Address - Fax:
Practice Address - Street 1:439 E 71ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4845
Practice Address - Country:US
Practice Address - Phone:212-746-4055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-17
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program