Escobar, Guillermo Steven

Escobar, Guillermo Steven is an individual health care provider with primary practice located at 100 Nicolls Rd , Stony Brook NY 11794-0001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Escobar, Guillermo Steven can be contacted via phone (631) 632-6000.

Contact Information

Primary practice address
100 Nicolls Rd Stony Brook NY 11794-0001
Phone: (631) 632-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1528526027
LBN Legal business name Escobar, Guillermo Steven
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2019
Last updated Mar 4th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528526027 NPPES
New York Other CDKSC7325736 BLUE CROSS BLUE SHIELD

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