Provider Demographics
NPI:1710440417
Name:ESCANO, RYNA MASSIEL
Entity Type:Individual
Prefix:
First Name:RYNA
Middle Name:MASSIEL
Last Name:ESCANO
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 1:220 E 102ND ST APT 14A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-5935
Mailing Address - Country:US
Mailing Address - Phone:917-660-6880
Mailing Address - Fax:
Practice Address - Street 1:220 E 102ND ST APT 14A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-5935
Practice Address - Country:US
Practice Address - Phone:917-660-6880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker