Basic Information
Provider Information
NPI: 1346651890
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ESCOBAR
FirstName: CHRISTINA
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 401 E 34TH ST
Address2: APT S29E
City: NEW YORK
State: NY
PostalCode: 100164914
CountryCode: US
TelephoneNumber: 8137664022
FaxNumber:  
Practice Location
Address1: 222 E 41ST ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100176739
CountryCode: US
TelephoneNumber: 6468256300
FaxNumber: 6468256399
Other Information
ProviderEnumerationDate: 05/17/2014
LastUpdateDate: 09/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400X295328NYY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


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