Provider Demographics
NPI:1952535213
Name:ESCABARTE, RUFO AUGUSTO DOLORIEL (SPED)
Entity type:Individual
Prefix:MR
First Name:RUFO AUGUSTO
Middle Name:DOLORIEL
Last Name:ESCABARTE
Suffix:
Gender:M
Credentials:SPED
Other - Prefix:
Other - First Name:RUFO
Other - Middle Name:D
Other - Last Name:ESCABARTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPED
Mailing Address - Street 1:1854 WALLACE AVENUE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3614
Mailing Address - Country:US
Mailing Address - Phone:646-651-2496
Mailing Address - Fax:
Practice Address - Street 1:1854 WALLACE AVENUE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-3614
Practice Address - Country:US
Practice Address - Phone:646-651-2496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency