Provider Demographics
NPI:1932448917
Name:ESQUIVA, MONICA VIVIANA (MS)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:VIVIANA
Last Name:ESQUIVA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 CLOVE RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-1247
Mailing Address - Country:US
Mailing Address - Phone:914-484-4445
Mailing Address - Fax:
Practice Address - Street 1:675 PELHAM RD
Practice Address - Street 2:APT. F-16
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-1155
Practice Address - Country:US
Practice Address - Phone:914-484-4445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-11
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023751235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist