Provider Demographics
NPI:1285066001
Name:ESCANO, DIANNES
Entity type:Individual
Prefix:
First Name:DIANNES
Middle Name:
Last Name:ESCANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:778 VAN NEST AVE
Mailing Address - Street 2:1 FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3936
Mailing Address - Country:US
Mailing Address - Phone:347-278-1964
Mailing Address - Fax:
Practice Address - Street 1:778 VAN NEST AVE
Practice Address - Street 2:1 FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-3936
Practice Address - Country:US
Practice Address - Phone:347-278-1964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst