Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 197325 | NY |
N | 207VX0000X | Obstetrician | 197325 | NY |
NPI | 1114991924 |
---|---|
Provider Name | Gloria M Escamilla |
First Address | Huntington Station, NY 11746-1915 |
Second Address | Huntington Station, NY 11746-1915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 09/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01613143 | (05) | NY |
0216038002 | CIGNA (01) | NY |
1409984 | UNITED HEALTHCARE (01) | NY |
160054762 | RAILROAD MEDICARE (01) | NY |
197325 | HIP (01) | NY |
197325A28 | HEALTH FIRST (01) | NY |
219878P | GREAT WEST ONE HEALTH PLA (01) | NY |
3C1752 | HEALTHNET/PHS (01) | NY |
467D11 | BLUE CROSS BLUE SHIELD (01) | NY |
5140114 | AETNA (01) | NY |
9516359 | GHI (01) | NY |
G36041 | (02) | NY |
P391715 | OXFORD (01) | NY |
P60054639 | MULTIPLAN (01) | NY |