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Gloria Espinoza Rn
Children's Substance Abuse Rehabilitation Facility in Staten Island, New York
NPI 1568910263

Gloria Espinoza Rn is a Children's Substance Abuse Rehabilitation Facility based in Staten Island, NY and is specialized in Substance Abuse Treatment, Children. Gloria Espinoza Rn practices in Staten Island, NY. The NPI Number for Gloria Espinoza Rn is 1568910263 and holds a License No. 131624228 (New York).

The current practice location address for Gloria Espinoza Rn is 3911 Richmond Ave, Staten Island, NY and can be reached out via phone at 718-948-3232 and via fax at 718-966-6605.

Location: 3911 Richmond Ave, Staten Island, NY, 10312-5110
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Provider Profile Details
NPI Number
1568910263
Provider Name
Gloria Espinoza Rn
Credential
Provider Entity Type
Individual
Gender
Female
Address
3911 Richmond Ave, Staten Island, NY, 10312-5110
Phone Number
718-948-3232
Fax Number
718-966-6605
Provider Enumeration Date
09/12/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013083476 01 NY EIN 1013083476
institution
Provider Business Practice Location Address Details
Address
3911 Richmond Ave
City
State
Zip
10312-5110
Phone Number
718-948-3232
Fax Number
718-966-6605
person
Provider Business Mailing Address Details
Address
3911 Richmond Ave
City
State
Zip
10312-5110
Phone Number
718-948-3232
Fax Number
718-966-6605
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
License No.
131624228 (New York)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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